State or Local Authority

Automated Vehicle Transparency & Engagement for Safe Testing (AV TEST) Initiative

Documents and Forms

Document Name Document Type
Form NHTSA Form 1586 State or Local Authority Form
NHTSA Form 1586 Attachment B Automated Vehicle Testing Tracker Attachment B - Sample Data Collection Screenshots 2020.09.16.docx Form
NHTSA Form 1586 Attachment B Automated Vehicle Testing Tracker Attachment B - Sample Data Collection Screenshots 2020.09.16.docx Form
NHTSA Form 1587 Attachment C Onboarding Form Attachment C - Sample Onboarding Form Screenshots 2020.09.16.docx Form
NHTSA Form 1587 Attachment C Onboarding Form Attachment C - Sample Onboarding Form Screenshots 2020.09.16.docx Form

Information Collection (IC) Details

IC Title:	State or Local Authority	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	NHTSA Form 1586	Attachment B Automated Vehicle Testing Tracker	Attachment B - Sample Data Collection Screenshots 2020.09.16.docx		Yes	Yes	Fillable Fileable
Form	NHTSA Form 1587	Attachment C Onboarding Form	Attachment C - Sample Onboarding Form Screenshots 2020.09.16.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35	-25	60
Annual IC Time Burden (Hours)	350	-1,450	1,800
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.