Highway Safety Improvement Programs

Forms and Documents

Document Name	Status
HSIP Report OMB Supporting Statement 2020.docx Supporting Statement A	2020-12-23

IC Document Collections

IC ID	Document Title	Status
25890	Highway Safety Improvement Program Report Instruction	Modified

ICR Details

OMB Control No: 2125-0025	ICR Reference No: 202012-2125-002
Status: Received in OIRA	Previous ICR Reference No: 201705-2125-001
Agency/Subagency: DOT/FHWA	Agency Tracking No: 2006-01
Title: Highway Safety Improvement Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/23/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	51	51
Time Burden (Hours)	12,750	12,750
Cost Burden (Dollars)	0	0

---

Abstract: This is an extension request to the Office of Information and Regulatory Affairs (OIRA) of the previously approved 2125-0025. The Fixing America’s Surface Transportation (FAST) Act (Pub. L. No. 114-94) continues the Highway Safety Improvement Program (HSIP) that provides funds to State Departments of Transportation (DOTs) to improve conditions at hazardous highway locations and hazardous railway-highway grade crossings on all public roads, including those maintained by Federal, State and local agencies.In addition to the new provisions in 23 U.S.C. 148, the existing provisions of Title 23 U.S.C. Sections 130, Railway-Highway Crossings Program (See Attachment), and 152, Hazard Elimination Program (See Attachment), as well as the implementing regulations in 23 CFR 924, (See Attachment) remain in effect. Included in these combined provisions are requirements for State DOTs to annually produce and submit to the Federal Highway Administration (FHWA) the following reports related to the conduct and effectiveness of their HSIPs:

---

Authorizing Statute(s): US Code: 23 USC 152 Name of Law: Hazard Elimination Program
   US Code: 23 USC 148 Name of Law: Highway Safety Improvement Program
   US Code: 23 USC 130 Name of Law: Railway-Highway Crossings Program
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 69867	09/28/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 80884	12/14/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Highway Safety Improvement Program Report

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	51	51	0	0	0	0
Annual Time Burden (Hours)	12,750	12,750	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $167,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/23/2020

---