Information Collection

Bar Patron Surveys

IC 200679 under ICR 201201-2127-001 · OMB 2127-0709.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0709 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1122 Bar Patron Surveys Form
NHTSA Form 1122 Bar Patron Questionnaires Appendix_F_Bar_Patron_Questionnaires1.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Bar Patron Surveys	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 1122	Bar Patron Questionnaires	Appendix_F_Bar_Patron_Questionnaires1.doc		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,000	1,000
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.