OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Incident Reporting for Automated Driving Systems (ADS) and Level 2 Advanced Driver Assistance Systems (ADAS)

OMB 2127-0754 · DOT/NHTSA.

OMB 2127-0754

Latest Forms, Documents, and Supporting Material

Document Name
Form NHTSA Form 1612 Level 2 ADAS/ADS Incident Report Form and Instruction
NCC-260512-001_-_Incoming_-_2026-05-11 PRA SS Part A ADS ADAS Incident Reporting_30Day.docx Supporting Statement A
Raymond Biscocho Duculan Sr.pdf Public Comments
Prime Vistas AI.pdf Public Comments
Raymond Biscocho Duculan Sr.pdf Public Comments
NHTSA-2026-0529-0013 Cian Cashin AAMVA.pdf Public Comments
NHTSA-2026-0529-0012_Marc D Williams Texas DOT.pdf Public Comments
NHTSA-2026-0529-0009_Eric Teoh IIHLDI.pdf Public Comments
NHTSA-2026-0529-0007_Burak Oktenli Georgetown University1.pdf Public Comments
NHTSA-2026-0529-0005_The Box Commons.pdf Public Comments
NHTSA-2026-0529-0004 Stephen C Birch Common Wealth of Virginia.pdf Public Comments
NHTSA-2026-0529-0003 Purus Vitas LLC Mark Tynes.pdf Public Comments
NHTSA-2026-0529- Robo Shepherd Inc.pdf Public Comments
Comment on NHTSA-2026-0529 from Consumer Reports.pdf Public Comments
Auto INNOVATORS SGO ICR FINAL.pdf Public Comments
60 Day Notice for SGO.pdf Supplementary Document
Level 2 ADAS/ADS Incident Reporting Form and Instruction

All Historical Document Collections

202605-2127-005	Reinstatement without change of a previously approved collection	2026-06-02
202212-2127-004 Approved without change	Revision of a currently approved collection	2022-12-19
202112-2127-004 Improperly submitted and continue	Revision of a currently approved collection	2021-12-30
202106-2127-003 Approved without change	New collection (Request for a new OMB Control Number)	2021-06-29