Rear Visibility Testing Questionnaire

Forms and Documents

Document Name	Status
Form NHTSA Form 1167 Rear Visibility Testing Questionnaire Form	New
PRA Clearance Research Testing - Supp Statment 2012 06 13 (Submit).docx Supporting Statement A	2012-06-18
KT Safety Act.pdf Supplementary Document	2012-05-09
Emergency Process Letter Signed.pdf Supplementary Document	2012-05-09

IC Document Collections

IC ID	Document Title	Status
202216	Rear Visibility Testing Questionnaire Form	New

ICR Details

OMB Control No: 2127-0683	ICR Reference No: 201205-2127-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Rear Visibility Testing Questionnaire
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/19/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/18/2012
	Date Received in OIRA: 05/10/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	6 Months From Approved
Responses	590	0	0
Time Burden (Hours)	117	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Cameron Gulbransen Kid Transportation Safety Act (K.T. Safety Act) directs the Secretary of Transportation to prescribe final standards amending Federal motor vehicle safety standard (FMVSS) No. 111 "to expand the required field of view to enable the driver of a motor vehicle to detect areas behind the motor vehicle to reduce death and injury resulting from backing incidents, particularly incidents involving small children and disabled persons." Further, 49 U.S.C. 30111, 30112 and 30117 of the National Traffic and Motor Vehicle Safety Act of 1966 specify that the Secretary shall prescribe standards that are practicable, meet the safety need for motor vehicle safety, and are stated in objective terms. The Secretary is authorized to issue, amend and revoke such rules and regulations as she/he deems necessary to carry out these sub-chapters. The Secretary is also authorized to require manufacturers to provide information to first purchasers of motor vehicle equipment when the vehicle or equipment is purchased, in a printed matter placed in the vehicle or attached to or accompanying the equipment. The National Highway Traffic Safety Administration (NHTSA), in prescribing a FMVSS, is to consider available relevant motor vehicle safety data, consult with appropriate agencies, and obtain safety comments from the responsible agencies, states, safety commissions, public and other related parties. Further, the Act mandates that in issuing any FMVSS, the agency considers whether the standard is "reasonable, practicable and appropriate for the particular type of motor vehicle or item of motor vehicle equipment for which it is prescribed," and whether such standards will contribute to carrying out the purpose of the Act. In support of the rulemaking to amend FMVSS No. 111 (pursuant to the K.T. Safety Act), NHTSA has been conducting research to evaluate drivers' use of backing aid technologies. In order to ensure that our current analysis is robust, NHTSA aims to complete an additional human factors observational study. This testing will include a wider range of vehicles and drivers than previously tested. NHTSA is requesting clearance to collect voluntary information in order to identify eligible participants for this study. In addition, the collected driver information will assist the agency in comparing the results from this additional study to the agency's previous studies.

Emergency Justfication: Ms. Chandana Achanta Office of Information and Regulatory Affairs Office of Management and Budget Washington, D.C. 20503 Dear Ms. Achanta: Pursuant to Office of Management and Budget procedures established at 5 CFR Part 1320, Controlling Paperwork Burdens on the Public, I ask that the following collection of information, "Rear Visibility Testing Questionnaire" be processed pursuant to section 1320.13 Emergency processing. I have determined that this information must be collected prior to the expiration of time periods established under Part 1320, and that this information is essential to National Highway Traffic Safety Administration's (NHTSA) mission to establish an amendment to Federal Motor Vehicle Safety Standard No. Ill that would expand the required field of view for passenger cars, trucks, multipurpose passenger vehicles, buses, and low-speed vehicles pursuant to the Cameron Gulbransen Kid Transportation Safety Act (K.T. Safety Act). As discussed in detail in the agency's supporting statement for this collection of information, the rear visibility testing questionnaire is essential in identifying participants for a study that would further the agency's research regarding drivers' use of backing aid technologies. The K.T. Safety Act established a statutory deadline for prescribing final requirements by February 28, 2011. NHTSA has already missed this deadline. While the Secretary has established (pursuant to the K.T. Safety Act) a new deadline of December 31, 2012, the agency cannot reasonably comply with the normal ICR clearance procedures without further delaying the schedule to prescribe final requirements by the end of the year and the benefits to safety. Please approve or disapprove the collection of information by May 19, 2012. As you are aware, NHTSA has taken all practicable steps to consult with other agencies and members of the public in order to minimize the burden of this collection of information. These efforts are described in detail in the Supporting Statement Part A under A8. Sincerely yours, Christopher J. Bonanti Associate Administrator for Rulemaking

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Authorizing Statute(s): US Code: 49 USC 30111, 30112, 30117 Name of Law: National Traffic and Motor Vehicle Safety Act of 1966
   PL: Pub.L. 110 - 189 1 -4 Name of Law: Cameron Gulbransen Kids Transportation Safety Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Rear Visibility Testing Questionnaire	NHTSA Form 1167, NHTSA Form 1169, NHTSA Form 1168	Recruitment: Driving Research Study ,   Participant Consent ,   Candidate Participant Screening

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	590	0	0	590	0	0
Annual Time Burden (Hours)	117	0	0	117	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection, resulting in a program change of adding 117 burden hours to NHTSA's overall burden hour total.

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Annual Cost to Federal Government: $2,652

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/10/2012

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