| The public report burden for this information collection is estimated to average 24 hours. |
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FORM APPROVED OMB NO. 2125-0032 |
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STATE |
| U.S. Department |
STATE MOTOR-VEHICLE |
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| of Transportation |
REGISTRATION FEES AND OTHER RECEIPTS: |
YEAR ENDING (mm/yy) |
| Federal Highway |
INITIAL DISTRIBUTION BY COLLECTING AGENCIES |
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| Administration |
NOTE: This collection of information is required by 23 U.S.C. 104 (b) and 105 (b); and 23 C.F.R. 1.5 and 420.105(b). Public reporting burden is estimated to average 24 hours per response. The Guide data is used by FHWA in administering the Federal-Aid Highway Program; in assessing highway policies, programs and performance of the Nation’s highway transportation system; in identifying future highway system investment needs; and in making policy and program recommendations. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0032, which expires on XX/XX/XXXX. |
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| NOTES AND COMMENTS: |
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COLLECTING AGENCY OR AGENCIES: |
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| SOURCE: |
THIS INFORMATION FROM RECORDS OF: |
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COMPILED UNDER DIRECTION OF: |
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| Form FHWA-566 (Rev. 07-2000) Excel |
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(Next Page) |
| 1 |
| STATE NAME: |
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YEAR ENDING (mm/yy): |
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0 |
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REGISTRATION |
DRIVER |
MOTOR CARRIER |
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| ITEM |
AND RELATED FEES |
LICENSE FEES |
TAXES |
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(Ref. FHWA-561) |
(Ref. FHWA-562) |
(Ref. FHWA-571) |
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(A) |
(B) |
(C) |
(D) |
| 1. RECONCILIATION OF RECEIPTS: |
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| A. RECEIPTS, SECTION IV, FHWA-561 |
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| B. RECEIPTS, ITEM II.H, FHWA-562 |
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| C. RECEIPTS, ITEM 9, COLUMN 7, FHWA-571 |
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| D. |
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| E. |
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| F. |
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| G. TOTAL RECEIPTS (A thru F) |
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| 2. DEDUCTIONS BY COUNTY AND LOCAL OFFICIALS: |
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| A. COLLECTION AND ADMINISTRATIVE EXPENSE |
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| B. OTHER DEDUCTIONS (Specify) ____________________________________ |
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| C. TOTAL (A & B) |
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| 3. NET RECEIPTS BY STATE COLLECTING AGENCY (1G-2C) |
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| 4. DEDUCTIONS BY STATE COLLECTING AGENCY FOR |
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| OPERATION AND ADMINISTRATION (Provide details in item 10) |
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| 5. NET FUNDS AVAILABLE FOR DISTRIBUTION (3-4) |
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| 6. BALANCE DISTRIBUTED AT END OF PREVIOUS YEAR |
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| 7. TOTAL FUNDS AVAILABLE FOR DISTRIBUTION (5+6) |
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| 8. AMOUNTS DISTRIBUTED: (Specify fund or purpose, e.g., County Aid |
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| Fund, State Patrol Fund, Highway Fund, etc.) |
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| B. |
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| C. |
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| D. |
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| E. |
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| F. |
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| G. |
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| H. |
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| I. |
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| J. |
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| K. TOTAL FUNDS DISTRIBUTED (A thru J) |
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| 9. BALANCE UNDISTRIBUTED AT END OF YEAR (7-8K) |
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| 10. EXPENDITURES BY STATE COLLECTING AGENCY: (Should check item 4). |
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| If item 4 is apportionment rather than expenditure, explain this fact in note, |
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| and provide opening and closing balances. |
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| A. HIGHWAY PATROL AND TRAFFIC SUPERVISION |
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| B. HIGHWAY, TRAFFIC AND DRIVER SAFETY PROGRAMS |
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| C. VEHICLE INSPECTION |
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| D. VEHICLE SIZE AND WEIGHT ENFORCEMENT |
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| E. VEHICLE REGISTRATION (Include titling) |
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| F. DRIVER LICENSING AND EXAMINATION |
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| G. ADMINISTRATION, DATA PROCESSING AND MISCELLANEOUS |
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| H. OTHER (Specify) |
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| I. TOTAL EXPENDITURES (A thru H) |
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| Form FHWA-566 (Rev. 10-2000) Excel |
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