Information Collection

FHWA Funds Transfer Request Form

IC 181057 under ICR 202402-2125-004 · OMB 2125-0620.

Documents and Forms

Document Name Document Type
Form FHWA-1575C FHWA Funds Transfer Request Form Form
FHWA-1575C FHWA Funds Transfer Request FHWA-1575C - FHWA Transfer Request.pdf Form
FHWA-1575C FHWA Funds Transfer Request FHWA-1575C - FHWA Transfer Request.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FHWA Funds Transfer Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FHWA-1575C	FHWA Funds Transfer Request	FHWA-1575C - FHWA Transfer Request.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
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.