Information Collection

Voucher for Federal Aid Reimbursements

IC 25924 under ICR 200708-2125-001 · OMB 2125-0507.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0507 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PR-20 Voucher for Federal Aid Reimbursements	Form
PR-20 Voucher for Work Performed Under Provisions of the Feder pr20 (2).pdf www.fhwa.dot.gov/eforms/pr20.pdf	Form

IC Title:

Voucher for Federal Aid Reimbursements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 23 CFR 140.609

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PR-20	Voucher for Work Performed Under Provisions of the Federal Highways Act	pr20 (2).pdf	http://www.fhwa.dot.gov/eforms/pr20.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 55

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
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,900	-300	13,200
Annual IC Time Burden (Hours)	6,450	-1,250	7,700
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.