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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0021 can be found here:

Documents and Forms

Document Name Document Type
Form HS Form 433A National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information Form
HS Form 433A Occupant Assessment Form HS Form 433A.doc Form
HS Form 433B Occuoant Injury Form HS Form 433B.doc Form and Instruction
HS Form 433D Interview Form (A) HS Form 433D.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Automotive Sampling System (NASS), Crashworthiness Data System (CDS) Interview and Occupant Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	HS Form 433A	Occupant Assessment Form	HS Form 433A.doc	No	Fillable Printable
Form and Instruction	HS Form 433B	Occuoant Injury Form	HS Form 433B.doc	No	Fillable Printable
Form and Instruction	HS Form 433D	Interview Form (A)	HS Form 433D.doc	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,971	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9,971	-3,529	13,500
Annual IC Time Burden (Hours)	5,605	-202	5,807
Annual IC Cost Burden (Dollars)	0	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.