Information Collection

Complete Survey

IC 242219 under ICR 202006-2126-001 · OMB 2126-0070.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0070 can be found here:

Documents and Forms

Document Name Document Type
Form Form 2 Complete Survey Form
Form 2 Survey ICI4 _Test Survey.pdf www.surveygizmo.com/s3/5651769/FMCSA-Beyond-Compliance-Test-Survey Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Complete Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Form 2	Survey	ICI4 _Test Survey.pdf	https://www.surveygizmo.com/s3/5651769/FMCSA-Beyond-Compliance-Test-Survey	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 112	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	112	112
Annual IC Time Burden (Hours)	75	75
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.