Information Collection

Online Recruitment Survey

IC 234198 under ICR 202310-2126-001 · OMB 2126-0069.

Documents and Forms

Document Name Document Type
Form 1 Online Recruitment Survey Form and Instruction
1 Carrier Survey Phase I 2126-0069 Appendix B Carrier Survey Application.docx Form and Instruction
1 Carrier Survey Phase I 2126-0069 Appendix B Carrier Survey Application.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Online Recruitment Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 396.3(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Carrier Survey Phase I	2126-0069 Appendix B Carrier Survey Application.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 578	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	Previously Approved
Annual Number of Responses for this IC	578	578
Annual IC Time Burden (Hours)	48	48
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.