VEHICLE OWNER'S QUESTIONNAIRE

ICR 198808-2127-005

OMB: 2127-0008

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
142031 Migrated
ICR Details
2127-0008 198808-2127-005
Historical Active 198511-2127-002
DOT/NHTSA
VEHICLE OWNER'S QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 10/25/1988
Retrieve Notice of Action (NOA) 08/01/1988
  Inventory as of this Action Requested Previously Approved
10/31/1991 10/31/1991 10/31/1988
38,000 0 28,433
15,960 0 11,942
0 0 0

SOLICITS INFORMATION FROM VEHICLE OWNERS TO DETERMINE WHETHER A SAFETY DEFECT EXISTS IN MOTOR VEHICLES, MOTOR VEHICLE EQUIPMENT OR TIRES.

None
None


No

1
IC Title Form No. Form Name
VEHICLE OWNER'S QUESTIONNAIRE HS-350, 350B

  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 38,000 28,433 0 9,567 0 0
Annual Time Burden (Hours) 15,960 11,942 0 4,018 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
08/01/1988


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