# Information Collection; Statement of Witness, Standard Form 94
**AGENCY:**
Federal Vehicle Policy Division, General Services Administration (GSA).
**ACTION:**
Notice of a request for comments regarding a reinstatement, with change, to an OMB clearance.
**SUMMARY:**
Under the provisions of the Paperwork Reduction Act of 1995, GSA has submitted to the Office of Management and Budget (OMB) a request to review and approve a reinstatement, with change, to an information collection requirement concerning Standard Form 94, Statement of Witness.
**DATES:**
Submit comments on or before December 1, 2017.
**FOR FURTHER INFORMATION CONTACT:**
Ray Wynter, Federal Vehicle Policy Division, 202-501-3802, or via email at *[email protected]* .
**ADDRESSES:**
Submit comments identified by Information Collection 3090-0118, Statement of Witness, SF 94, by any of the following methods: *Regulations.gov: http://www.regulations.gov* .
• *Regulations.gov: http://www.regulations.gov* . Submit comments via the Federal eRulemaking portal by searching the OMB control number. Select the link “Submit a Comment” that corresponds with “Information Collection 3090-0118, Statement of Witness, SF 94.” Follow the instructions provided at the “Submit a Comment” screen. Please include your name, company name (if any), and “Information Collection 3090-0118, Statement of Witness, SF 94” on your attached document.
• *Mail:* General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405. ATTN: Mr. Poe/IC 3090-0118, Statement of Witness, SF 94.
*Instructions:* Please submit comments only and cite Information Collection 3090-0118, Statement of Witness, SF 94, in all correspondence related to this collection. Comments received generally will be posted without change to *http://www.regulations.gov,* including any personal and/or business confidential information provided. To confirm receipt of your comment(s), please check *www.regulations.gov,* approximately two to three days after submission to verify posting (except allow 30 days for posting of comments submitted by mail).
**SUPPLEMENTARY INFORMATION:**
**A. Purpose**
GSA is requesting that OMB review and approve information collection, 3090-0118, Statement of Witness, SF 94. This form is used by all Federal agencies to report accident information involving U.S. Government motor vehicles.
**B. Annual Reporting Burden**
*Respondents:* 874.
*Responses per Respondent:* 1.
*Total Annual Responses:* 874.
*Hours per Response:* .333.
*Total Burden Hours:* 291.
**C. Public Comment**
*Public comments are particularly invited on:* Whether this collection of information is necessary and whether it will have practical utility; whether our estimate of the public burden of this collection of information is accurate, and based on valid assumptions and methodology; ways to enhance the quality, utility, and clarity of the information to be collected.
*Obtaining Copies of Proposals:* Requesters may obtain a copy of the information collection documents from the General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street NW., Washington, DC 20405, telephone 202-501-4755. Please cite OMB Control No. 3090-0118, Statement of Witness, SF 94, in all correspondence.
Dated: September 26, 2017.
David A. Shive,
Chief Information Officer, General Services Administration.