Information Collection

Eligible Respondents Who Report No Harrassment or Assault

IC 240691 under ICR 202111-2126-004 · OMB 2126-0071.

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

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	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	11	11
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.