National Priority Safety Programs

Documents and Forms

Document Name Document Type
Form HS Form 217 National Priority Safety Programs Form and Instruction
HS Form 217 Highway Safety Program Cost Summary HS_217_Form[2][1][1].doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Priority Safety Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	HS Form 217	Highway Safety Program Cost Summary	HS_217_Form[2][1][1].doc		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	23,940	13,860	10,080
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.