Information Collection Request

Evaluation of NHTSA'S Child Pedestrian Safety Curriculum

ICR 201401-2127-002 · OMB 2127-0700 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1217 Evaluation of New Child Pedestrian Curriculum Form New Available
Johnson - Appendix E Parent Notification Sheet.docx Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix D-3 Justification for Instructional Staff Survey Questions.docx Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix D-2 Justification for Caregiver Survey Questions.docx Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix D-1 Justification for Student Survey Questions.docx Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix B-2 30 Day FR Notice.pdf Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix B-1 60 Day FR Notice.pdf Supplementary Document Uploaded 2014-01-30 Available
Johnson - Appendix A Authority.docx Supplementary Document Uploaded 2014-01-30 Available
Johnson - OMB Section B.docx Supporting Statement B Uploaded 2014-01-30 Available
Johnson - OMB Section A.docx Supporting Statement A Uploaded 2014-01-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
210212 Evaluation of New Child Pedestrian Curriculum Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved
6,200 0 0
517 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Evaluation of New Child Pedestrian Curriculum NHTSA Form 1216, NHTSA Form 1215, NHTSA Form 1216A, NHTSA Form 1217 Student Survey ,   Caregiver Survey - English ,   Instructional Staff Survey ,   Caregiver Survey - Spanish

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,200 0 0 6,200 0 0
Annual Time Burden (Hours) 517 0 0 517 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No