Information Collection

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

IC 193297 under ICR 201005-2127-001 · OMB 2127-0668.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form #1067 An In-Depth Examination of Pedestrian-Involved Hit-and-Run Crashes	Form and Instruction
NHTSA Form #1067 Drivers' Survey Appendix B--Survey Form.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 Form #1067	Drivers' Survey	Appendix B--Survey Form.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

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	900	900
Annual IC Time Burden (Hours)	855	855
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.