Information Collection

National Automotive Sampling System Law Enforcement Information

IC 209696 under ICR 201312-2127-003 · OMB 2127-0697.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1242 National Automotive Sampling System Law Enforcement Information	Form
NHTSA Form 1242 NASS Law Enforcement Data Collection Form Attachment_1_for_NASS_Law_Enforcement_PRA_-_Data_Collection_Form_111913_Rev[1].docx	Form

IC Title:

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 1242	NASS Law Enforcement Data Collection Form	Attachment_1_for_NASS_Law_Enforcement_PRA_-_Data_Collection_Form_111913_Rev[1].docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,450

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,450	1,450
Annual IC Time Burden (Hours)	2,900	2,900
Annual IC Cost Burden (Dollars)	188,500	188,500

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.