FHWA-571 Receipts from State Taxation of Motor Vehicles Operated

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Overview

A
B

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Sheet 1: A

This public report burden for this information collection is estimated to average 12 hours.
		STATE
U.S. Department	RECEIPTS FROM STATE TAXATION OF MOTOR VEHICLES
of Transportation	OPERATED FOR HIRE AND OTHER MOTOR CARRIERS	YEAR ENDING (mm/yy)
Federal Highway	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 average12 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.
Administration
Notes & Comments
	COLLECTING AGENCY OR AGENCIES
	ADMINISTRATIVE OR REGULATING AGENCY OR AGENCIES
SOURCE
	THIS INFORMATION FROM THE RECORDS OF
	COMPILED UNDER DIRECTION OF
Form FHWA-571 (Rev. 10/2000) Page 1			(Next Page)

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Sheet 2: B

STATE			YEAR ENDING (mm/yy)
0			0
	Special motor-carrier taxes collected
	Gross		Weight/		Certificate		Total
Type of vehicle and class of service	Receipts	Distance	Capacity	Flat Rate	or Permit	Miscellaneous	Motor-Carrier
	Taxes	Taxes	Taxes	Fees	Fees	Fees	Taxes Paid
	(1)	(2)	(3)	(4)	(5)	(6)	(7)
1. Passenger cars for hire							0
2. Motor buses:
A. Common carriers
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
B. Other motor-carrier buses:
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
C. Total motor-carrier buses (A+B)	0	0	0	0	0	0	0
3. Total passenger motor carriers (1+2)	0	0	0	0	0	0	0
4. Motor truck:
A. Common carriers
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
B. Other for-hire buses:
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
C. Private motor carriers							0
D. Total motor-carrier trucks (A+B+C)	0	0	0	0	0	0	0
5. Tractor trucks, road tractors, etc.
A. Common carriers
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
B. Other for-hire buses:
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
C. Private motor carriers							0
D. Total motor-carrier trucks (A+B+C)	0	0	0	0	0	0	0
6. Total freight motor carriers (4+5)	0	0	0	0	0	0	0
7. Trailers and semitrailers:
A. Common carriers
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
B. Other for-hire buses:
(1) Intrastate							0
(2) Interstate							0
Total	0	0	0	0	0	0	0
C. Private motor carriers							0
D. Total motor-carrier trucks (A+B+C)	0	0	0	0	0	0	0
8. Total freight carriers (6+7)	0	0	0	0	0	0	0
9. Total carriers (3+8)	0	0	0	0	0	0	0
10. WERE SPECIAL TAXES PAID BY ANY OF THE ABOVE CARRIERS IMPOSED IN LIEU OF REGISTRATION FEES						Y for Yes; N for No ->
IF YES, INDICATE BY ASTERISKS THE VEHICLES CONCERNED AND THE SPECIAL FEES PAID IN LIEU OF REGISTRATION FEES.
Form FHWA-571 (Rev. 10/2000)		Page 2