Witness and/or Passenger Questionnaires

Forms and Documents

Document	Type	Status	Availability
Asiana B777 SFO Passenger Questionnaire OMB Final WITH redaction 8-5-13_Redacted.pdf	Supplementary Document	Uploaded 2014-02-24	Available
Supporting Statement B- NTSB Passenger and Witness questionnaires 2-24-14.docx	Supporting Statement B	Uploaded 2014-02-24	Available
Supporting Statement A- NTSB Passenger and Witness questionnaires 2-24-14.docx	Supporting Statement A	Uploaded 2014-02-24	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form

ICR Details

OMB Control No: 3147-0026	ICR Reference No: 201402-3147-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NTSB	Agency Tracking No:
Title: Witness and/or Passenger Questionnaires
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/30/2015
	Date Received in OIRA: 02/24/2014
Terms of Clearance: OMB approves this collection for a period of two years. Prior to resubmission, the agency must 1) update response/burden estimates based off observed results, 2) review other online safety reporting systems, like ASRS, and provide an update on the creation of a web-based questionnaire. To request approval of information collections under this generic approval, the agency must 1) review and justify any questions of a sensitive nature, 2) ensure the collection is not duplicative of another investigating agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved
Responses	1,300	0	0
Time Burden (Hours)	325	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In order to fulfill its statutory mandate of investigating transportation events, the NTSB will obtain completed questionnaires from witnesses and/or passengers who have first-hand knowledge and observations of the transportation event under investigation. Information and data the NTSB obtains in responses to the questionnaires may indicate safety trends or point to the need for further analysis during the investigation. With time, witnesses and/or passengers memories' may fade or witnesses/passengers may become difficult to locate for purposes of obtaining information from them. Therefore, this generic approval, to permit the NTSB to gather information soon after the investigation commences, is critical to the NTSB.

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Authorizing Statute(s): US Code: 49 USC 1101-1155 Name of Law: The Independent Safety Board Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 57666	09/19/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 9285	02/18/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary 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	1,300	0	0	1,300	0	0
Annual Time Burden (Hours)	325	0	0	325	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The NTSB has determined it should obtain generic approval for questionnaires the NTSB may distribute to witnesses and/or passengers who can offer descriptions of their first-hand observations of transportation accidents, incidents, and other serious events. The NTSB's statute requires the NTSB to investigate such events comprehensively, and make a determination of probable cause. The NTSB then uses such determinations to issue safety recommendations to entities, to prevent such occurrences in the future. Therefore, the NTSB's request for generic approval is not due to a statutory or regulatory change, but is based on the NTSB's need for compliance with the Paperwork Reduction Act and the regulations implementing it.

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Annual Cost to Federal Government: $65,942

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/24/2014

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