Information Collection

State Agencies, and District of Columbia

IC 25954 under ICR 202406-2125-001 · OMB 2125-0541.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FHWA 1563 State Agencies, and District of Columbia	Form
FHWA 1563 Certificate of Enforcement of Heavy Vehicle Use Tax Electronic FHWA 1563 Page 1.pdf	Form
FHWA 1563 Certificate of Enforcement of Heavy Vehicle Use Tax Electronic FHWA 1563 Page 1.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 23 CFR 669

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 1563	Certificate of Enforcement of Heavy Vehicle Use Tax	Electronic FHWA 1563 Page 1.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

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	51	51
Annual IC Time Burden (Hours)	612	612
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.