Information Collection

NHTSA Tire Fuel Efficiency Consumer Information Program Survey Research Plan

IC 200042 under ICR 201110-2127-001 · OMB 2127-0678.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form Number NHTSA Tire Fuel Efficiency Consumer Information Program Survey Research Plan	Form
NHTSA Form Number Tire Fuel Efficiency Questionnaire Appendix B-Tires Fuel Efficiency Questionnaire 10-31-2011.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 575

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 Form Number 1158	Tire Fuel Efficiency Questionnaire	Appendix B-Tires Fuel Efficiency Questionnaire 10-31-2011.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,200

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	5,200	5,200
Annual IC Time Burden (Hours)	1,300	1,300
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.