Information Collection

Request for Special Priorities Assistance

IC 195865 under ICR 201603-2105-003 · OMB 2105-0567.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0567 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OST_F_1254 Request for Special Priorities Assistance	Form and Instruction
OST_F_1254 REQUEST FOR SPECIAL PRIORITIES ASSISTANCE Form_OST_F_1254.pdf	Form and Instruction

IC Title:

Request for Special Priorities Assistance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 33

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OST_F_1254	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	Form_OST_F_1254.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	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.