Information Collection

Fatality Analysis Reporting System (FARS)

IC 26137 under ICR 201406-2127-003 · OMB 2127-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HS Form 214 Fatality Analysis Reporting System (FARS)	Form
HS Form 214 Crash Level HS Form 214.pdf	Form
HS Form 214-A Vehicle Level HS Form 214-A.pdf	Form
HS Form 214-B Driver Level HS Form 214-B.pdf	Form
HS Form 214-C Person Level (MV Occupant) HS Form 214-C.pdf	Form
HS Form 214-D Pre-Crash Level (Vehicle/Driver) HS Form 214-D.pdf	Form
HS Form 214-E Person Level (Not A MV Occupant) HS Form 214-E.pdf	Form

IC Title:

Fatality Analysis Reporting System (FARS)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HS Form 214	Crash Level	HS Form 214.pdf	Yes	Yes	Fillable Fileable
Form	HS Form 214-A	Vehicle Level	HS Form 214-A.pdf	Yes	Yes	Fillable Fileable
Form	HS Form 214-B	Driver Level	HS Form 214-B.pdf	Yes	Yes	Fillable Fileable
Form	HS Form 214-C	Person Level (MV Occupant)	HS Form 214-C.pdf	Yes	Yes	Fillable Fileable
Form	HS Form 214-D	Pre-Crash Level (Vehicle/Driver)	HS Form 214-D.pdf	Yes	Yes	Fillable Fileable
Form	HS Form 214-E	Person Level (Not A MV Occupant)	HS Form 214-E.pdf	Yes	Yes	Fillable Fileable

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
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	32,885	-5,424	38,309
Annual IC Time Burden (Hours)	98,655	16,291	82,364
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.