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Eligible Respondents Who Report No Harrassment or Assault
Crime Prevention for Truckers
OMB: 2126-0071
IC ID: 240691
OMB.report
DOT/FMCSA
OMB 2126-0071
ICR 202111-2126-004
IC 240691
( )
Documents and Forms
Document Name
Document Type
Form Form 1
Eligible Respondents Who Report No Harrassment or Assault
Form and Instruction
Form 1 Survey on Crime Prevention for Truckers
Trucker Crimes Questions 1 to 23 Question 61 Optional .docx
Form and Instruction
Form 1 Survey on Crime Prevention for Truckers
Trucker Crimes Questions 1 to 23 Question 61 Optional .docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Eligible Respondents Who Report No Harrassment or Assault
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form 1
Survey on Crime Prevention for Truckers
Trucker Crimes Questions 1 to 23 Question 61 Optional .docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
80
Number of Respondents for Small Entity:
40
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
82 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
80
0
0
0
0
80
Annual IC Time Burden (Hours)
11
0
0
0
0
11
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.