Information Collection

State Website (user access and admin functions)

IC 238344 under ICR 202503-2127-009 · OMB 2127-0714.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0714 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1696 State Website (user access and admin functions) Form
Form NHTSA Form 1696 Crash Report Sampling System Form State Website (user access and admin functions) Form
NHTSA Form 1696 Crash Report Sampling System Form RBIS CRSS 2022_Dec192022.pdf Form
NHTSA Form 1696 Crash Report Sampling System Form RBIS CRSS 2022_Dec192022.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Website (user access and admin functions)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 501.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1696	Crash Report Sampling System Form	RBIS CRSS 2022_Dec192022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 76 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	120	120
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.

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