Information Collection

Operator Notification Form

IC 226717 under ICR 201612-2137-005 · OMB 2137-0627.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0627 can be found here:

Documents and Forms

Document Name Document Type
Form PHMSA F1000.2 Operator Notification Form Form and Instruction
PHMSA F1000.2 Operator Notification Form Operator Notification Form and Instructions - PHMSA F 1000.2 (rev xy-2014) 2017-05-05(2).pdf www.phmsa.dot.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Operator Notification Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 195.64 49 CFR 191.22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA F1000.2	Operator Notification Form	Operator Notification Form and Instructions - PHMSA F 1000.2 (rev xy-2014) 2017-05-05(2).pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 445	Number of Respondents for Small Entity: 25

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	445	445
Annual IC Time Burden (Hours)	445	445
Annual IC Cost Burden (Dollars)	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.