Assessment and Delivery of Safety Funding at the Local Level

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Local Level Safety Funding_OMBsupportingstatement_Final.doc	Supporting Statement A	Uploaded 2012-07-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203009	Assessment and Delivery of Safety Funding at the Local Level	Other-Questionaire	New

ICR Details

OMB Control No: 2125-0634	ICR Reference No: 201207-2125-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FHWA	Agency Tracking No:
Title: Assessment and Delivery of Safety Funding at the Local Level
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/28/2012
	Date Received in OIRA: 07/25/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	250	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection effort is consistent with DOT's Strategic Goal of Safety, specifically for improving safety on rural roads identified in the draft U.S. Department of Transportation Strategic Plan for Fiscal Years 2012-2016: •Encourage State and local agencies to adopt data-driven, comprehensive safety strategies and collaborate with stakeholders such as the Federal land management agencies, local, and tribal governments to improve safety levels; and •Provide national leadership in delivering safety programs and products to tribal communities, gateway communities, and local governments. Many rural roads are under the jurisdiction of local agencies, which often do not have the resources needed to adequately address the safety problems on the roads they maintain. The findings of this data collection effort will help identify States that could use technical assistance for distributing funding to local agencies and identify practices/processes states can consider for use in their safety program delivery process.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 60	03/28/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 123	06/26/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Assessment and Delivery of Safety Funding at the Local Level

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	50	0	0	50	0	0
Annual Time Burden (Hours)	250	0	0	250	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $196,280

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/25/2012

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