Information Collection

State or Local Authority

IC 243680 under ICR 202009-2127-002 · OMB 2127-0748.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0748 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	1,800	1,800
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.