Information Collection

Demonstration of Speed Management Programs

IC 187228 under ICR 200811-2127-001 · OMB 2127-0656.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 1055 Demonstration of Speed Management Programs	Form and Instruction
NHTSA 1055 NHTSA Media Survey Questionnaire for Tucson, Arizona DSM Media Questionnaire final 04-14-09.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA 1055	NHTSA Media Survey Questionnaire for Tucson, Arizona DSMPATE Project	Media Questionnaire final 04-14-09.doc		No		Fillable Printable

Line of Business: Transportation

Subfunction: Space Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,620

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,620	1,620
Annual IC Time Burden (Hours)	405	405
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.