Information Collection

Track B End of Visit Release

IC 261999 under ICR 202308-2127-003 · OMB 2127-0770.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0770 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1721 Track B End of Visit Release	Form
NHTSA Form 1721 End of Visit Release Agreement FormG_NHTSA Form 1721_EndOfVisitReleaseAgreement(EVRA).docx	Form

IC Title:

Track B End of Visit Release

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1721	End of Visit Release Agreement	FormG_NHTSA Form 1721_EndOfVisitReleaseAgreement(EVRA).docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.