Information Collection

Highway Safety Improvement Program Report

IC 25890 under ICR 200608-2125-002 · OMB 2125-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HSIP Report Guidance.doc	Instruction
RRX Reporting Guidance.pdf	Instruction
Five Percent report Guidance.doc	Instruction

IC Title:

Highway Safety Improvement Program Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 23 CFR 924

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	HSIP Report Guidance.doc	Yes	Yes	Printable Only
Instruction	RRX Reporting Guidance.pdf	Yes	Yes	Printable Only
Instruction	Five Percent report Guidance.doc	Yes	Yes	Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	-1	52
Annual IC Time Burden (Hours)	25,500	15,100	10,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.