View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Fallen Highway Worker Recognition Form	Agency IC Tracking Number:	Ready for Submission

IC Status: New

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
Other-Collection Form					Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	50	0	50	0	0	0
Annual IC Time Burden (Hours)	25	0	25	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
FHWA Generic Clearance Submission Form		02/19/2026
Generic Clearance Checklist		02/19/2026
Burden Statement- Fallen Highway Worker Recognition		02/19/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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