National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44079	National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information	Form	Migrated

ICR Details

OMB Control No: 2127-0021	ICR Reference No: 200606-2127-007
Status: Historical Active	Previous ICR Reference No: 200304-2127-004
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/06/2006
	Date Received in OIRA: 06/30/2006
Terms of Clearance: In the next submission, but no earlier than 12 months from now, DOT/NHTSA shall report on its efforts toward electronic forms (e.g., through the internet), submitted electronically, as well as efforts to make the submission interactive, i.e., further questions are keyed as appropriate to past responses. Note that each form--should there continue to be two forms--is a separate information collection instrument (ICI).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2009	36 Months From Approved	09/30/2006
Responses	13,500	0	13,500
Time Burden (Hours)	5,807	0	5,807
Cost Burden (Dollars)	0	0	0

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Abstract: NASS investigates high severity crashes, includes interviewing occupants and witnesses, inspecting crash scenes and vehicles, and obtaining medical records. Data used in programs to prevent crashes and reduce injuries when crashes occur.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information	HS-433A, HS-433B

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ICR Summary of Burden

table that charts list of burden

	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	13,500	0	0	0	0
Annual Time Burden (Hours)	5,807	5,807	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/30/2006

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