View Information Collection (IC)

View Information Collection (IC)

IC Title:	Graham Street Advisory Bike Lanes Experiment Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-card			Graham Street Survey_Cards with links.docx	http://s.alchemer.com /s3/grahamstreetabl	Yes	Yes	Fillable Fileable
Other-poster			Graham Street Survey_Poster_22x34.pdf		No		Paper Only
Other-script			Graham Street Survey_Sample Script.docx		No		Paper Only
Other-Survey Part 2			Graham_Street_Advisory_Bike_Lane_SurveyPart2_9-10-21.docx		No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: Generic Clearance	FR Citation: 5 FR 1320

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	400	0	400	0	0	0
Annual IC Time Burden (Hours)	67	0	67	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
0596-0236 Renewal-Justification Form_Graham Street Survey_Submission 20210910	0596-0236 Renewal-Justification Form_Graham Street Survey_Submission 20210910.docx	10/21/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.