Information Collection

Advanced Crash Technologies Qualitative Research

IC 206671 under ICR 201304-2127-001 · OMB 2127-0698.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0698 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1195 Screener for Qualitative Focus Groups Advanced Crash Technologies Qualitative Research	Form
Form NHTSA Form 1196 Discussion Guide for Qualitative Focus Groups & Interviews Advanced Crash Technologies Qualitative Research	Form and Instruction
NHTSA Form 1195 Screener for Qualitative Focus Groups Appendix A - Advanced Crash Technologies Qualitative Screener_FINAL.docx	Form
NHTSA Form 1196 Discussion Guide for Qualitative Focus Groups & Intervie Appendix B - Advanced Crash Technologies Discussion Guide_FINAL.docx	Form and Instruction

IC Title:

Advanced Crash Technologies Qualitative Research

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1195				No		Fillable Printable
Form and Instruction	NHTSA Form 1196				No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 212

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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