Information Collection

FARS Manual Protocol In-Kind Process Support

IC 254640 under ICR 202512-2127-003 · OMB 2127-0006.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1667 FARS Data Entry Form FARS Manual Protocol In-Kind Process Support Form
NHTSA Form 1667 FARS Data Entry Form FARS Data Entry Form_ clean.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FARS Manual Protocol In-Kind Process Support	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1667	FARS Data Entry Form	FARS Data Entry Form_ clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	2,000	2,000
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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