Effectiveness of Child passenger Safety Information for the Safe Transportation of Children

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1174 Effectiveness of Child Passenger Safety Information for the Safe Transportation of Children	Form	New	Available
Appendix M - Post-survey Informational Handout.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix L - Transition Screens FINAL.DOCX	Supplementary Document	Uploaded 2012-11-20	Available
Appendix K - Phone Script Final.docx	Supplementary Document	Uploaded 2012-11-20	Available
Appendix J - Recruitment Flyer.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix Ib - Consent Form_Study 2 - FINAL 8.16.12.doc	Supplementary Document	Uploaded 2012-11-20	Available
Appendix Ia - Consent Form_Study 1 - FINAL 8.16.12.doc	Supplementary Document	Uploaded 2012-11-20	Available
Appendix G - CPS Test Messages Study 2.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix F - Control Group Activity for Study 1.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix E - CPS Test Messages Study 1.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix D - OMB CPS messages study protocol 9.6.12.docx	Supplementary Document	Uploaded 2012-11-20	Available
Appendix C - 30-day Federal Register Notice.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix B - 60 day Federal Register Notice.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Appendix A - Authority.pdf.pdf.pdf	Supplementary Document	Uploaded 2012-11-20	Available
Part B - OMB Supporting Package-11-15-2012.docx	Supporting Statement B	Uploaded 2012-11-20	Available
Part A - OMB Supporting Package-7-5-12.docx	Supporting Statement A	Uploaded 2012-11-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
204887	Effectiveness of Child Passenger Safety Information for the Safe Transportation of Children	Form	New

ICR Details

OMB Control No: 2127-0689	ICR Reference No: 201211-2127-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Effectiveness of Child passenger Safety Information for the Safe Transportation of Children
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/20/2013
	Date Received in OIRA: 12/12/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	540	0	0
Time Burden (Hours)	675	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NHTSA is authorized to conduct research as a foundation for the development of motor vehicle standards and traffic safety programs. In support of this mission, NHTSA proposes to collect information from parents and caregivers on their understanding and perceptions of child passenger safety messages. The response information is necessary to determine the most effective CPS messages that would influence parents and caregivers to seek the most appropriate restraint systems for their children (less than 13 years of age). In addition, NHTSA will publish the findings of this research study to provide information to States, localities, and other interested organizations in support of their efforts to reduce and prevent injuries among child occupants.

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Authorizing Statute(s): US Code: 23 USC 403 Name of Law: Highway Safety Research and Development
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78334	12/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38710	06/28/2012
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Effectiveness of Child Passenger Safety Information for the Safe Transportation of Children	NHTSA Form 1174	Child Passenger Safety Survey

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ICR Summary of Burden

table that charts list 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	540	0	0	540	0	0
Annual Time Burden (Hours)	675	0	0	675	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 information collection. As such, it requires a program change to add the estimated 675 hours for the new information collection to the existing burden.

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Annual Cost to Federal Government: $162,289

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 12/12/2012

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