NATIONAL ACCIDENT SAMPLING SYSTEM - NONREPORTED ACCIDENT SURVEY

ICR 198004-2127-001

OMB: 2127-0034

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
2127-0034 198004-2127-001
Historical Active
DOT/NHTSA
NATIONAL ACCIDENT SAMPLING SYSTEM - NONREPORTED ACCIDENT SURVEY
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/18/1980
Retrieve Notice of Action (NOA) 04/24/1980
  Inventory as of this Action Requested Previously Approved
09/30/1981 09/30/1981
9,882 0 0
3,014 0 0
0 0 0

SURVEY TO OBTAIN INFO ON PERSONS INVOLVED IN MY TRAFFIC ACCIDENTS NOT REPORTED TO POLICE. WILL DEVELOP NATIONAL ESTIMATES OF INJURY/PROPERTY DAMAGE CHARACTERISTICS. START 7/80

None
None


No

1
IC Title Form No. Form Name
NATIONAL ACCIDENT SAMPLING SYSTEM - NONREPORTED ACCIDENT SURVEY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,882 0 0 0 9,882 0
Annual Time Burden (Hours) 3,014 0 0 0 3,014 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/24/1980


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