NATIONAL ACCIDENT SAMPLING SYSTEM (NASS), CRASHWORTHINESS DATA SYSTEM (CDS) INTERVIEW AND OCCUPANT INFORMATION FORMS

ICR 199306-2127-002

OMB: 2127-0021

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2127-0021 199306-2127-002
Historical Active 199003-2127-003
DOT/NHTSA
NATIONAL ACCIDENT SAMPLING SYSTEM (NASS), CRASHWORTHINESS DATA SYSTEM (CDS) INTERVIEW AND OCCUPANT INFORMATION FORMS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/14/1993
Retrieve Notice of Action (NOA) 06/10/1993
  Inventory as of this Action Requested Previously Approved
06/30/1996 06/30/1996
13,500 0 0
5,807 0 0
0 0 0

NASS COLLECTS CRASH DATA ON MOTOR VEHICLES AND OCCUPANTS TO SUPPORT NHTSA'S MOTOR VEHICLE SAFETY STANDARDS EVALUATION. NASS RESEARCHERS GATHER DATA FROM POLICE JURISDICTIONS, HOSPITALS, TOW YARDS, AND INTERVIEWEES.

None
None


No

1
IC Title Form No. Form Name
NATIONAL ACCIDENT SAMPLING SYSTEM (NASS), CRASHWORTHINESS DATA SYSTEM (CDS) INTERVIEW AND OCCUPANT INFORMATION FORMS HS-433A, 433B

  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 13,500 0 0 13,500 0 0
Annual Time Burden (Hours) 5,807 0 0 5,807 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.
06/10/1993


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