Information Collection

National Priority Safety Programs

IC 205193 under ICR 201212-2127-006 · OMB 2127-0687.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0687 can be found here:

Documents and Forms

Document Name Document Type
Form HS Form 217 National Priority Safety Programs Form and Instruction
HS Form 217 Highway Safety Program Cost Summary HS_217_Form[2][1][1].doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Priority Safety Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HS Form 217	Highway Safety Program Cost Summary	HS_217_Form[2][1][1].doc		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	10,080	10,080
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.