Information Collection

State Website (user access and admin functions)

IC 238344 under ICR 202212-2127-001 · OMB 2127-0714.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0714 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1696 State Website (user access and admin functions) Form
NHTSA Form 1696 Crash Report Sampling System Form RBIS CRSS 2022_Dec192022.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Website (user access and admin functions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 501.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1696	Crash Report Sampling System Form	RBIS CRSS 2022_Dec192022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 76 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-12	14
Annual IC Time Burden (Hours)	120	-20	140
Annual IC Cost Burden (Dollars)	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.