Information Collection

Request for Special Priorities Assistance

IC 195865 under ICR 202401-2105-001 · OMB 2105-0567.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OST F 1254 Request for Special Priorities Assistance	Form and Instruction
OST F 1254 Request for Special Priorities Assistance Form OST F 1254_Updated.pdf	Form and Instruction
OST F 1254 Request for Special Priorities Assistance Form OST F 1254_Updated.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 33

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 and Instruction	OST F 1254	Request for Special Priorities Assistance	Form OST F 1254_Updated.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	3	3
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.