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Form NHTSA Form 1612 NHTSA Form 1612 ADS ADAS Incident Report
Incident Reporting for Automated Driving Systems (ADS) and Level 2 Advanced Driver Assistance Systems (ADAS)
[STATIC IMAGE + WATERMARK] - NHTSA Form 1612 - ADS ADAS Incident Report Form.png
Monthly Reports
OMB: 2127-0754
OMB.report
DOT/NHTSA
OMB 2127-0754
ICR 202106-2127-003
IC 248102
Form NHTSA Form 1612 NHTSA Form 1612 ADS ADAS Incident Report
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2127-0754 can be found here:
2022-12-19 - Revision of a currently approved collection
2021-12-30 - Revision of a currently approved collection
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