Information Collection

2008 National Survey on Reported and Unreported Motor Vehicle Crashes

IC 188954 under ICR 201005-2127-002 · OMB 2127-0663.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 1055 A Survey on Unreported Crashes: Screener Survey 2008 National Survey on Reported and Unreported Motor Vehicle Crashes	Form
Form NHTSA 1055 B Survey on Unreported Crashes: Main Survey 2008 National Survey on Reported and Unreported Motor Vehicle Crashes	Form
NHTSA 1055 A Survey on Unreported Crashes: Screener Survey NHTSA 1055 A.DOC	Form
NHTSA 1055 B Survey on Unreported Crashes: Main Survey 9610-- NHTSA Form 1055B - Main Survey 20091001.DOC	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	NHTSA 1055 A				No		Fillable Printable
Form	NHTSA 1055 B				No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,010

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	Previously Approved
Annual Number of Responses for this IC	2,010	2,010
Annual IC Time Burden (Hours)	1,433	1,433
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.

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