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State or Local Authority
Automated Vehicle Transparency & Engagement for Safe Testing (AV TEST) Initiative
OMB: 2127-0748
IC ID: 243680
OMB.report
DOT/NHTSA
OMB 2127-0748
ICR 202009-2127-002
IC 243680
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0748 can be found here:
2023-07-05 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1586
State or Local Authority
Form
NHTSA Form 1586 Attachment B Automated Vehicle Testing Tracker
Attachment B - Sample Data Collection Screenshots 2020.09.16.docx
Form
NHTSA Form 1587 Attachment C Onboarding Form
Attachment C - Sample Onboarding Form Screenshots 2020.09.16.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State or Local Authority
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NHTSA Form 1586
Attachment B Automated Vehicle Testing Tracker
Attachment B - Sample Data Collection Screenshots 2020.09.16.docx
Yes
Yes
Fillable Fileable
Form
NHTSA Form 1587
Attachment C Onboarding Form
Attachment C - Sample Onboarding Form Screenshots 2020.09.16.docx
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:
60
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
1,800
0
1,800
0
0
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.