Information Collection

Application Stage

IC 257872 under ICR 202301-2125-001 · OMB 2125-0672.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0672 can be found here:

Documents and Forms

Document Name Document Type
Wildlife_Crossings-Application Checklist 12.20.22.docx Other-Applicaton Checklist

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Stage	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 23 CFR 171

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Applicaton Checklist			Wildlife_Crossings-Application Checklist 12.20.22.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	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.