National Traffic Incident Management (TIM) Responder Training Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FHWA TIM-5 Demographic Survey	Form	New	Available
Form FHWA TIM-4 Level 4 TtT	Form and Instruction	New	Available
Form FHWA TIM-3S Level 3 Supervisors	Form and Instruction	New	Available
Form FHWA TIM-3 Level 3 Respondents	Form and Instruction	New	Available
Form FHWA TIM-2TP Level 2 TtT Post	Form and Instruction	New	Available
Form FHWA TIM-2T Level 2 TtT Pre Test	Form and Instruction	New	Available
Form FHWA TIM-2P Level 2 Post Respondents	Form	New	Available
Form FHWA TIM-2 Level 2 Pre Test Respondents	Form and Instruction	New	Available
Form FHWA TIM-1T Level 1 TtT	Form and Instruction	New	Available
Form FHWA TIM-1 Level 1 Respondents	Form and Instruction	New	Repair queued
081315 L32C Phase 2 Supporting Statement Final (2).doc	Supporting Statement A	Uploaded 2015-08-25	Available
L32C Phase 2 Supporting Statement Part B_060815.doc	Supporting Statement B	Uploaded 2015-06-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218007	Demographic Survey	Form	New	Demographic Survey
218006	Level 4 TtT	Form and Instruction	New	Level 4 TtT
218005	Level 3 Supervisors	Form and Instruction	New	Level 3 Supervisors
218004	Level 3 Respondents	Form and Instruction	New	Level 3 Respondents
218003	Level 2 Post TtT	Form and Instruction	New	Level 2 TtT Post
218002	Level 2 Pre TtT	Form and Instruction	New	Level 2 TtT Pre Test
218001	Level 2 Post Test Respondents	Form	New	Level 2 Post Respondents
218000	Level 2 Pre Test Respondents	Form and Instruction	New	Level 2 Pre Test Respondents
217999	Level 1 TtT	Form and Instruction	New	Level 1 TtT
217996	Level 1 Respondents	Form and Instruction	New	Level 1 Respondents

ICR Details

OMB Control No: 2125-0650	ICR Reference No: 201506-2125-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FHWA	Agency Tracking No:
Title: National Traffic Incident Management (TIM) Responder Training Program
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 with change	Conclusion Date: 05/04/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/10/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved
Responses	24,400	0	0
Time Burden (Hours)	2,900	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The TIM Responder Training Program addresses critical safety and operations concerns of incident management. This ICR supports the TIM Responder Training Program by enabling FHWA to collect feedback from the individuals and organizations participating in this national training initiative. FHWA will use the information collected to analyze the effectiveness of the program in improving safety and reducing the congestion associated with highway incident response.

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Authorizing Statute(s): PL: Pub.L. 112 - 141 52003 Name of Law: Moving Ahead for Progress in the 21st Century (MAP-21)
  

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:
	79 FR 148	08/01/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 113	06/12/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Demographic Survey	FHWA TIM-5	Demographic Survey
Level 1 Respondents	FHWA TIM-1	Level 1 Respondents
Level 1 TtT	FHWA TIM-1T	Level 1 TtT
Level 2 Post Test Respondents	FHWA TIM-2P	Level 2 Post Respondents
Level 2 Post TtT	FHWA TIM-2TP	Level 2 TtT Post
Level 2 Pre Test Respondents	FHWA TIM-2	Level 2 Pre Test Respondents
Level 2 Pre TtT	FHWA TIM-2T	Level 2 TtT Pre Test
Level 3 Respondents	FHWA TIM-3	Level 3 Respondents
Level 3 Supervisors	FHWA TIM-3S	Level 3 Supervisors
Level 4 TtT	FHWA TIM-4	Level 4 TtT

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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	24,400	0	0	24,400	0	0
Annual Time Burden (Hours)	2,900	0	0	2,900	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: Changing Regulations

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: $240,400

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 09/10/2015

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