Information Collection

Request for Special Priorities Assistance

IC 195865 under ICR 201207-2105-006 · OMB 2105-0567.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0567 can be found here:

Documents and Forms

Document Name Document Type
Form OST_F_1254 Request for Special Priorities Assistance Form and Instruction
OST_F_1254 REQUEST FOR SPECIAL PRIORITIES ASSISTANCE Form_OST_F_1254.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Special Priorities Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 33

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OST_F_1254	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	Form_OST_F_1254.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	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.