Information Collection

Certification Requirements for State Grants for Drunk Driving Prevention Programs

IC 44082 under ICR 200904-2127-002 · OMB 2127-0501.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.