Certification Requirements for State Grants for Drunk Driving Prevention Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0501 can be found here:

Documents and Forms

Document Name Document Type
HS 217 Form Codes.pdf Instruction
HS 217 Form Definitions.pdf Instruction
HS Form 217 Highway Safety Program Cost Summary HS Form 217 revised.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification Requirements for State Grants for Drunk Driving Prevention Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 23 CFR Part 1313 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Instruction			HS 217 Form Codes.pdf	No	Fillable Printable
Instruction			HS 217 Form Definitions.pdf	No	Fillable Printable
Form	HS Form 217	Highway Safety Program Cost Summary	HS Form 217 revised.pdf	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	52	18	34
Annual IC Time Burden (Hours)	1,350	-180	1,530
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.