National Priority Safety Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HS Form 217 National Priority Safety Programs	Form and Instruction	New	Available
Letter to OMB Emer Clear S 405 12-21-12.pdf	Supplementary Document	Uploaded 2012-12-21	Available
FINAL supporting statements MAP-21 S 405 12-13-12.docx	Supporting Statement A	Uploaded 2012-12-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205193	National Priority Safety Programs	Form and Instruction	New

ICR Details

OMB Control No: 2127-0687	ICR Reference No: 201212-2127-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: National Priority Safety Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/31/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/16/2013
	Date Received in OIRA: 12/22/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	6 Months From Approved
Responses	56	0	0
Time Burden (Hours)	10,080	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: MAP-21, the Moving Ahead for Progress in the 21st Century Act (P.L. 112-141), authorizes the National Highway Traffic Safety Administration to issue grants to States for National Priority Safety Programs for fiscal years (FY) 2013-2014. The authorization consolidates six previously separate grant programs that are available to help States address national priorities for reducing highway deaths and injuries. Specifically, these consolidated grant programs include the following: (1) Occupant Protection Grants; (2) State Traffic Safety Information System Improvements Grants; (3) Impaired Driving Countermeasures Grants; (4) Distracted Driving Grants; (5) Motorcyclist Safety Grants; and (6) State Graduated Driver Licensing Grant. Consistent with these statutory requirements, the agency is implementing a regulation that creates an application process for States to apply for grant funds. In order to meet the statutory requirements, a State will be required to submit information to the agency that supports its qualifications for receiving grants funds. The information requested includes data, plans, legislation and other evidence that demonstrates the State is implementing a strategic and evidence-based traffic safety program.

Emergency Justfication: Ms. Chandana Achanta Office of Information and Regulatory Affairs Office of Management and Budget Washington, DC 20503 Dear Ms. Achanta: Pursuant to the Office Management and Budget procedures established as 5 CFR Part 1320, Controlling Paperwork Burdens on the Public, I ask that the following collection of information,

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Authorizing Statute(s): PL: Pub.L. 112 - 141 31105 Name of Law: MAP-21, Moving Ahead for Progress in the 21st Century Act
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 141 31105 Name of Law: MAP-21, Moving Ahead for Progress in the 21st Century Act

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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

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
National Priority Safety Programs	HS Form 217	Highway Safety Program Cost Summary

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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	56	0	56	0	0	0
Annual Time Burden (Hours)	10,080	0	10,080	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a new information collection. MAP-21, the Moving Ahead for Progress in the 21st Century Act (P.L. 112-141), authorizes the National Highway Traffic Safety Administration to issue grants to States for National Priority Safety Programs for fiscal years (FY) 2013-2014. This new information collection adds 10,080 hours to NHTSA's overall total.

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Annual Cost to Federal Government:

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: 12/22/2012

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