Fuel Economy Qualitative

Consumer Education Program for Fuel Economy

Documents and Forms

Document Name Document Type
Form NHTSA Form 1128 Fuel Economy Qualitative Form
NHTSA Form 1128 Appendix D - Focus Group Screener Appendix D - Qualitative Screener.doc Form
NHTSA Form 1129 Appendix E-Fuel Economy Qualitative Discussion Guide Appendix E - Fuel Economy Qualitative Discussion Guide.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Fuel Economy Qualitative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1128	Appendix D - Focus Group Screener	Appendix D - Qualitative Screener.doc		No		Paper Only
Form and Instruction	NHTSA Form 1129	Appendix E-Fuel Economy Qualitative Discussion Guide	Appendix E - Fuel Economy Qualitative Discussion Guide.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.