Information Collection

Fuel Economy, GHG, Other Emissions, and Alternative Fuels Education ProgramQualitative Research Plan

IC 210890 under ICR 201403-2127-003 · OMB 2127-0703.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1257 Fuel Economy, GHG, Other Emissions, and Alternative Fuels Education ProgramQualitative Research Plan	Form
NHTSA Form 1257 Appendix C - Qualitative Screener Appendix C_Qualitative Screener.docx	Form
NHTSA Form 1258 Appendix D - Qualitative Discussion Guide Appendix D_Qualitative Discussion Guide.docx	Form and Instruction

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 1257	Appendix C - Qualitative Screener	Appendix C_Qualitative Screener.docx		No		Fillable Printable
Form and Instruction	NHTSA Form 1258	Appendix D - Qualitative Discussion Guide	Appendix D_Qualitative Discussion Guide.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	120	120
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	2,400	2,400

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.