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National Survey of Principal Drivers of Vehicles with Rear SBRS
National Survey of Principal Drivers of Vehicles with a Rear Seat Belt Reminder System
OMB: 2127-0696
IC ID: 207779
OMB.report
DOT/NHTSA
OMB 2127-0696
ICR 201307-2127-004
IC 207779
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,500
0
2,500
0
0
0
Annual IC Time Burden (Hours)
667
0
667
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.