Information Collection Request

Incident Reporting for Automated Driving Systems (ADS) and Level 2 Advanced Driver Assistance Systems (ADAS)

ICR 202106-2127-003 · OMB 2127-0754 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1612 Monthly Reports Form New Repair queued
Form NHTSA Form 1612 ADS one-day reports, update Form New Missing upstream
Form NHTSA Form 1612 ADS one-day reports, initial Form New Repair queued
Form NHTSA Form 1612 Level 2 ADAS one-day reports, update Form New Repair queued
Form NHTSA Form 1612 Level 2 ADAS one-day reports, initial Form New Missing upstream
PRA SS Part A ADS ADAS Incident Reporting 2021-06-22 1627FINALv3clean.docx Supporting Statement A Uploaded 2021-06-29 Repair queued
Emergency Clearance Request - Standing General Order.pdf Supplementary Document Uploaded 2021-06-29 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248104 Setting Up MAP Account New
248103 Training New
248102 Monthly Reports Form New
248101 ADS one-day reports, update Form New
248100 ADS one-day reports, initial Form New
248099 Level 2 ADAS one-day reports, update Form New
248098 Level 2 ADAS one-day reports, initial Form New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved
8,245 0
12,539 0
0 0





table that charts list 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 8,245 0 0 8,245 0 0
Annual Time Burden (Hours) 12,539 0 0 12,539 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No