Information Collection

FHWA Funds Transfer Request Form

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.