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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form NHTSA Form 1195 Advanced Crash Technologies Qualitative Research Form
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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1195	Screener for Qualitative Focus Groups	Appendix A - Advanced Crash Technologies Qualitative Screener_FINAL.docx		No		Fillable Printable
Form and Instruction	NHTSA Form 1196	Discussion Guide for Qualitative Focus Groups & Interviews	Appendix B - Advanced Crash Technologies Discussion Guide_FINAL.docx		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 %

	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

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.