| The public report burden for this information collection is estimated to average 24 hours. |
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FORM APPROVED OMB NO. 2125-0032 |
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STATE |
| U.S. Department |
STATE MOTOR-VEHICLE |
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| of Transportation |
REGISTRATION FEES AND OTHER RECEIPTS: |
YEAR ENDING (mm/yy) |
| Federal Highway |
INITIAL DISTRIBUTION BY COLLECTING AGENCIES |
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| Administration |
NOTE: This collection of information is required by 23 U.S.C. 104 (b) and 105 (b); and 23 C.F.R. 1.5 and 420.105(b). Public reporting burden is estimated to average24 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The Guide data is used by FHWA in administering the Federal-Aid Highway Program; in assessing highway policies, programs and performance of the Nation’s highway transportation system; in identifying future highway system investment needs; and in making policy and program recommendations. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0032, which expires on XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Avenue, SE, Washington, DC 20590. |
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| NOTES AND COMMENTS: |
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COLLECTING AGENCY OR AGENCIES: |
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| SOURCE: |
THIS INFORMATION FROM RECORDS OF: |
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COMPILED UNDER DIRECTION OF: |
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| Form FHWA-566 (Rev. 07-2000) Excel |
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(Next Page) |
| 1 |
| STATE NAME: |
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YEAR ENDING (mm/yy): |
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0 |
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REGISTRATION |
DRIVER |
MOTOR CARRIER |
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| ITEM |
AND RELATED FEES |
LICENSE FEES |
TAXES |
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(Ref. FHWA-561) |
(Ref. FHWA-562) |
(Ref. FHWA-571) |
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(A) |
(B) |
(C) |
(D) |
| 1. RECONCILIATION OF RECEIPTS: |
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| A. RECEIPTS, SECTION IV, FHWA-561 |
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| B. RECEIPTS, ITEM II.H, FHWA-562 |
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| C. RECEIPTS, ITEM 9, COLUMN 7, FHWA-571 |
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| D. |
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| E. |
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| F. |
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| G. TOTAL RECEIPTS (A thru F) |
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| 2. DEDUCTIONS BY COUNTY AND LOCAL OFFICIALS: |
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| A. COLLECTION AND ADMINISTRATIVE EXPENSE |
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| B. OTHER DEDUCTIONS (Specify) ____________________________________ |
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| C. TOTAL (A & B) |
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| 3. NET RECEIPTS BY STATE COLLECTING AGENCY (1G-2C) |
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| 4. DEDUCTIONS BY STATE COLLECTING AGENCY FOR |
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| OPERATION AND ADMINISTRATION (Provide details in item 10) |
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| 5. NET FUNDS AVAILABLE FOR DISTRIBUTION (3-4) |
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| 6. BALANCE DISTRIBUTED AT END OF PREVIOUS YEAR |
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| 7. TOTAL FUNDS AVAILABLE FOR DISTRIBUTION (5+6) |
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| 8. AMOUNTS DISTRIBUTED: (Specify fund or purpose, e.g., County Aid |
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| Fund, State Patrol Fund, Highway Fund, etc.) |
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| A. |
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| B. |
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| C. |
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| D. |
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| E. |
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| F. |
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| G. |
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| H. |
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| I. |
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| J. |
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| K. TOTAL FUNDS DISTRIBUTED (A thru J) |
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| 9. BALANCE UNDISTRIBUTED AT END OF YEAR (7-8K) |
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| 10. EXPENDITURES BY STATE COLLECTING AGENCY: (Should check item 4). |
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| If item 4 is apportionment rather than expenditure, explain this fact in note, |
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| and provide opening and closing balances. |
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| A. HIGHWAY PATROL AND TRAFFIC SUPERVISION |
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| B. HIGHWAY, TRAFFIC AND DRIVER SAFETY PROGRAMS |
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| C. VEHICLE INSPECTION |
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| D. VEHICLE SIZE AND WEIGHT ENFORCEMENT |
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| E. VEHICLE REGISTRATION (Include titling) |
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| F. DRIVER LICENSING AND EXAMINATION |
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| G. ADMINISTRATION, DATA PROCESSING AND MISCELLANEOUS |
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| H. OTHER (Specify) |
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| I. TOTAL EXPENDITURES (A thru H) |
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| Form FHWA-566 (Rev. 10-2000) Excel |
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