Uniform Safety Program Cost, Summary Form for Highway Safety Plan -- 23 CFR Parts 1200, 1204, and 1205

ICR 199508-2127-003

OMB: 2127-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2127-0003 199508-2127-003
Historical Active 199309-2127-001
DOT/NHTSA
Uniform Safety Program Cost, Summary Form for Highway Safety Plan -- 23 CFR Parts 1200, 1204, and 1205
Extension without change of a currently approved collection   No
Regular
Approved without change 09/05/1995
Retrieve Notice of Action (NOA) 08/08/1995
  Inventory as of this Action Requested Previously Approved
10/31/1998 10/31/1998 09/30/1995
16,553 0 0
31,601 0 31,768
0 0 0

The Highway Safety Plan (HSP) identifies that State's traffic safety problems and describes the programs and projects to address those problems. It serves as the basis for the execution of a Federal-Aid Agreement and funding documentation for authorized program use.

None
None


No

1
IC Title Form No. Form Name
Uniform Safety Program Cost, Summary Form for Highway Safety Plan -- 23 CFR Parts 1200, 1204, and 1205 HS217

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,553 0 0 0 16,553 0
Annual Time Burden (Hours) 31,601 31,768 0 0 -167 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/08/1995


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