Statement of Witness -- Standard Form 94

ICR 199805-3090-001

OMB: 3090-0118

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
32402 Migrated
ICR Details
3090-0118 199805-3090-001
Historical Active 199504-3090-002
GSA
Statement of Witness -- Standard Form 94
Extension without change of a currently approved collection   No
Regular
Approved without change 06/24/1998
Retrieve Notice of Action (NOA) 05/13/1998
  Inventory as of this Action Requested Previously Approved
06/30/2001 06/30/2001 06/30/1998
816 0 1,202
272 0 401
0 0 0

Standard Form 94 is necessary to provide the Federal Government data on motor vehicle accidents and traffic violations. The form is used by persons who have witnessed an accident.

None
None


No

1
IC Title Form No. Form Name
Statement of Witness -- Standard Form 94 SF-94

  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 816 1,202 0 0 -386 0
Annual Time Burden (Hours) 272 401 0 0 -129 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.
05/13/1998


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