Information Collection

National Survey of Principal Drivers of Vehicles with Rear SBRS

IC 207779 under ICR 201307-2127-004 · OMB 2127-0696.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1218 National Survey of Principal Drivers of Vehicles with Rear SBRS Form
NHTSA Form 1218 Final Rear SBRS Questionnaire Rear_SBRS_Qx_2014_clean_Final_2.pdf Form
FR78 5865.60DayNotice RearSeatBeltReminder ICR1 28 13.pdf Rear Seat Belt Reminder Survey IC Document
FR78 40823.30DayNoticeRSBRSurvey7.8.13.pdf Rear Seat Belt Reminder Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Principal Drivers of Vehicles with Rear SBRS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1218	Final Rear SBRS Questionnaire	Rear_SBRS_Qx_2014_clean_Final_2.pdf		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 1

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Rear Seat Belt Reminder Survey	FR78 5865.60DayNotice RearSeatBeltReminder ICR1 28 13.pdf	08/09/2013
Rear Seat Belt Reminder Survey	FR78 40823.30DayNoticeRSBRSurvey7.8.13.pdf	08/09/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.