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Federal forms, ICRs, and supporting documents

Information Collection

Young Driver Survey Pilot Test

IC 211061 under ICR 201403-2127-005 · OMB 2127-0704.

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

View Information Collection (IC)

Young Driver Survey Pilot Test
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NHTSA Form 1199 Welcome Screen Welcome Screen For Entry To Questionnaire.docx TBD Yes Yes Fillable Fileable
Form NHTSA Form 1199(a) Questionnaire Version A March 2014 Web Version A Questionnaire.doc TBD Yes Yes Fillable Fileable
Form NHTSA Form 1199(b) Questionnaire Version B March 2014 Web Version B Questionnaire.doc TBD Yes Yes Fillable Fileable

Transportation Ground Transportation

 

3,150 0
   
Individuals or Households
 
   50 %

  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 3,150 0 3,150 0 0 0
Annual IC Time Burden (Hours) 788 0 788 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.