OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of New Child Pedestrian Curriculum

IC 210212 under ICR 201401-2127-002 · OMB 2127-0700.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form and Instruction
Form
Information Collection (IC) Details

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Evaluation of New Child Pedestrian Curriculum
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NHTSA Form 1217 Student Survey Johnson - Appendix C-1 Student Survey[1].docx No   Paper Only
Form NHTSA Form 1216 Caregiver Survey - English Johnson - Appendix C-2 Caregiver Survey English[1].docx No   Paper Only
Form and Instruction NHTSA Form 1215 Instructional Staff Survey Johnson - Appendix C-4 Instructional Staff Survey[1].docx Yes Yes Fillable Printable
Form NHTSA Form 1216A Caregiver Survey - Spanish Johnson - Appendix C-3 Caregiver Survey Spanish[1].docx No   Paper Only

Transportation Ground Transportation

 

6,200 0
   
Individuals or Households
 
   3 %

  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 6,200 0 6,200 0 0 0
Annual IC Time Burden (Hours) 517 0 517 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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