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Fatality Analysis Reporting System (FARS)
Fatality Analysis Reporting System (FARS)
OMB: 2127-0006
IC ID: 26137
OMB.report
DOT/NHTSA
OMB 2127-0006
ICR 201510-2127-001
IC 26137
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0006 can be found here:
2022-07-26 - Revision of a currently approved collection
2019-04-30 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
32,885
0
0
-5,424
38,309
0
Annual IC Time Burden (Hours)
98,655
0
0
16,291
82,364
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.