An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes

Forms and Documents

Document Name	Status
Form NHTSA Form #1067 An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes Form and Instruction	New
10, 10-4 Hit-Run Pedestrain Study-Part A.doc Supporting Statement A	2010-10-04
Appendix A--Statutory Authority.docx Supplementary Document	2010-05-19
10, 09-03 Hit-Run Pedestrain Study-Part B.doc Supporting Statement B	2010-09-21

IC Document Collections

IC ID	Document Title	Status
193297	An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes Form and Instruction	New

ICR Details

OMB Control No: 2127-0668	ICR Reference No: 201005-2127-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/04/2010
	Date Received in OIRA: 06/18/2010
Terms of Clearance: This approval is for the pilot study only. NHTSA will report back on results from the pilot study (including response rate) and will develop another ICR package for the full survey.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved
Responses	900	0	0
Time Burden (Hours)	855	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This study will: Contact drivers of vehicles in pedestrian-involved crashes; Examine differences between drivers who stay and those who leave; and Identify countermeasures to reduce the number of crashes, deaths, and injuries.

---

Authorizing Statute(s): PL: Pub.L. 89 - 564 403 Name of Law: Highway Safety Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 32	02/19/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 132	07/13/2009
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes	NHTSA Form #1067	Drivers' Survey

---

ICR Summary 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	900	0	0	900	0	0
Annual Time Burden (Hours)	855	0	0	855	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There is an annual reporting and recordkeeping hour burden of an additional 855 hours since this is a new collection of information.

---

Annual Cost to Federal Government: $227,900

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]? No

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)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 06/18/2010

---