Information Collection

IC-1d: Complete Survey – Survey Input

IC 258254 under ICR 202304-2126-004 · OMB 2126-0078.

Documents and Forms

Document Name Document Type
Appendix A-1_SDLA Survey_DRAFT 20230203.docx Other-Survey
Appendix A-1_SDLA Survey_DRAFT 20230203.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IC-1d: Complete Survey â Survey Input	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 380 49 CFR 383.131-133

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Appendix A-1_SDLA Survey_DRAFT 20230203.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	13	13
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.