National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information

ICR 201209-2127-001

OMB: 2127-0021

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2013-02-14
Supporting Statement A
2013-02-14
Supplementary Document
2009-11-23
Supplementary Document
2009-11-23
Supporting Statement B
2013-02-14
ICR Details
2127-0021 201209-2127-001
Historical Active 200907-2127-005
DOT/NHTSA
National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information
Revision of a currently approved collection   No
Regular
Approved with change 02/20/2013
Retrieve Notice of Action (NOA) 12/01/2012
  Inventory as of this Action Requested Previously Approved
02/28/2014 36 Months From Approved 02/28/2013
9,971 0 13,500
5,605 0 5,807
0 0 0

NASS investigates high severity crashes, includes interviewing occupants and witnesses, inspecting crash scenes and vehicles, and obtaining medical records. Data used in programs to prevent crashes and reduce injuries when crashes occur.

PL: Pub.L. 89 - 563 106, 108, 112 Name of Law: National Traffic and Motor Vehicle Saftey Act of 1966
  
None

Not associated with rulemaking

  77 FR 99 05/22/2012
77 FR 152 08/07/2012
No

1
IC Title Form No. Form Name
National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information HS Form 433A, HS Form 433B, HS Form 433D Occupant Assessment Form ,   Occuoant Injury Form ,   Interview Form (A)

  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 9,971 13,500 0 0 -3,529 0
Annual Time Burden (Hours) 5,605 5,807 0 0 -202 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The adjustment was a result of a reduction in the total number of respondents from 13500 to 9971, which slightly reduced the the burden hours by 202 hours (from 5,807 hours to 5,605 hours).

$12,530
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Gary Toth 2023665378

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/01/2012


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