Information Collection

State Safety Participation Regulations

IC 142458 under ICR 199105-2130-003 · OMB 2130-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0509 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

STATE SAFETY PARTICIPATION REGULATIONS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	5A, 10, 29	No	No
Form	68, 68A, 69	No	No
Form	29A, 33, 58	No	No
Form	58A, 59, 59A	No	No
Form	65, 65A, 67	No	No
Form	F-74	No	No
Form	FRA-F-6180.5	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17,450	17,450
Annual IC Time Burden (Hours)	12,045	12,045
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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