NATIONAL ACCIDENT SAMPLING SYSTEM INTERVIEW FORMS

ICR 198408-2127-002

OMB: 2127-0021

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
142062 Migrated
ICR Details
2127-0021 198408-2127-002
Historical Active 198210-2127-002
DOT/NHTSA
NATIONAL ACCIDENT SAMPLING SYSTEM INTERVIEW FORMS
Revision of a currently approved collection   No
Regular
Approved without change 11/01/1984
Retrieve Notice of Action (NOA) 08/17/1984
NHTSA must obtain prior OMB approval before changing the NASS sampling size or making any further revisions to the survey forms. Such reques for OMB approval must describe and justify the specific changes being proposed in terms of their projected costs, burdens, and benefits.
  Inventory as of this Action Requested Previously Approved
07/31/1987 07/31/1987 01/31/1986
30,000 0 30,000
13,207 0 10,000
0 0 0

NASS IS A NATIONALLY REPRESENTATIVE SAMPLE OF VEHICLE DAMAGE, OCCUPANT INJURY, AND DYNAMICS OF ACCIDENTS. THE DATA ARE USED TO SUPPORT (NHTSA) MOTOR VEHICLE AND HIGHWAY SAFETY RESEARCH.

None
None


No

1
IC Title Form No. Form Name
NATIONAL ACCIDENT SAMPLING SYSTEM INTERVIEW FORMS HS-429, HS-433, HS-428

  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 30,000 30,000 0 0 0 0
Annual Time Burden (Hours) 13,207 10,000 0 0 3,207 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.
08/17/1984


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