Whistleblower Program Forms

OMB 2127-0767

OMB 2127-0767

Latest Forms, Documents, and Supporting Material

Document Name
Form NHTSA Form 1686 WB-AWARD-Individual with Legal Representative Form and Instruction
Form NHTSA Form 1685 WB-RELEASE-Individual with Legal Representative Form and Instruction
Form NHTSA Form 1685 WB-RELEASE-Individual Form and Instruction
Form NHTSA Form 1684 WB-INFO- Individual with Legal Representative Form and Instruction
Form NHTSA Form 1684 WB-INFO-Individual Form and Instruction
2024-12-17 - PRA Supporting Statement for NHTSA's Whistleblower Final Rule (002).docx Supporting Statement A
Optional Private Counsel for Binding Nondisclosure Agreement
WB-AWARD-Individual with Legal Representative Form and Instruction
WB-RELEASE-Individual with Legal Representative Form and Instruction
WB-RELEASE-Individual Form and Instruction
WB-INFO- Individual with Legal Representative Form and Instruction
WB-INFO-Individual Form and Instruction

All Historical Document Collections

202412-2127-008	New collection (Request for a new OMB Control Number)	2024-12-19
202309-2127-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2023-10-16

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