Information Collection Request
Incident Reporting for Automated Driving Systems (ADS) and Level 2 Advanced Driver Assistance Systems (ADAS)
ICR 202212-2127-004 · OMB 2127-0754 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2127-0754 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form NHTSA Form 1612 Level 2 ADAS/ADS Incident Reporting |
Form and Instruction | Unchanged | Repair queued |
| Form NHTSA Form 1612 Monthly Reports |
Form | Removed | Repair queued |
| Form NHTSA Form 1612 ADS one-day reports, update |
Form | Removed | Repair queued |
| Form NHTSA Form 1612 ADS one-day reports, initial |
Form | Removed | Repair queued |
| Form NHTSA Form 1612 Level 2 ADAS one-day reports, update |
Form | Removed | Repair queued |
| Form NHTSA Form 1612 Level 2 ADAS one-day reports, initial |
Form | Removed | Repair queued |
 PRA SS Part A ADS ADAS Incident Reporting_30Day_12.23.21_final (1).docx |
Supporting Statement A | Uploaded 2022-12-19 | Repair queued |
 First_Amended_SGO_2021_01_Final.pdf |
Supplementary Document | Uploaded 2021-12-29 | Missing upstream |
| 60 Day Notice_9.30.12_86 FR 54287.pdf |
Supplementary Document | Uploaded 2021-12-29 | Repair queued |
| 30 Day Notice_12.29.21_86 FR 74217.pdf |
Supplementary Document | Uploaded 2021-12-29 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 250893 |  Level 2 ADAS/ADS Incident Reporting |
Form and Instruction | Unchanged | |
| 248104 | Setting Up MAP Account |
Removed | ||
| 248103 | Training |
Removed | ||
| 248102 | Monthly Reports |
Form | Removed | |
| 248101 | ADS one-day reports, update |
Form | Removed | |
| 248100 | ADS one-day reports, initial |
Form | Removed | |
| 248099 | Level 2 ADAS one-day reports, update |
Form | Removed | |
| 248098 | Level 2 ADAS one-day reports, initial |
Form | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOT/NHTSA |
| OMB Control No | 2127-0754 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202112-2127-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |