Highway Safety Improvement Program Report

Highway Safety Improvement Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0025 can be found here:

Documents and Forms

Document Name Document Type
HSIP Report Guidance.doc Instruction
RRX Reporting Guidance.pdf Instruction
Five Percent report Guidance.doc Instruction

Information Collection (IC) Details

IC Title:	Highway Safety Improvement Program Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 23 CFR 924

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	HSIP Report Guidance.doc	No		Printable Only
Instruction	RRX Reporting Guidance.pdf	No		Paper Only
Instruction	Five Percent report Guidance.doc	Yes	No	Paper Only

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	-1	52
Annual IC Time Burden (Hours)	25,500	15,100	10,400
Annual IC Cost Burden (Dollars)	0	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.