Motor Vehicle Occupant Safety Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA FORM 1020B Version B Questionnaire	Form	Modified	Available
Form NHTSA Form 1020A Version A Questionnaire	Form	Modified	Available
Form NHTSA FORM 1020 Welcome Page	Form and Instruction	Modified	Available
Form NHTSA Form 1020B Version B Questionnaire	Form	New	Available
Form NHTSA Form 1020A Version A Questionnaire	Form	New	Available
Form NHTSA FORM 1020 Welcome Screen	Form and Instruction	New	Available
Form NHTSA Form 1020B Version B Questionnaire	Form	New	Available
Form NHTSA Form 1020A Version A Questionnaire	Form	New	Available
Form NHTSA FORM 1020 Welcome Screen	Form and Instruction	New	Available
Version B Question-By-Question Justification.doc	Supplementary Document	Uploaded 2014-06-19	Available
Version A Question-By-Question Justification.doc	Supplementary Document	Uploaded 2014-06-19	Available
Notice 2 Federal Register.pdf	Supplementary Document	Uploaded 2014-06-19	Available
Notice 1 Federal Register.pdf	Supplementary Document	Uploaded 2014-06-19	Available
Attachment 1 - Legal Authority.pdf	Supplementary Document	Uploaded 2014-06-19	Available
Section B.doc	Supporting Statement B	Uploaded 2014-06-19	Available
Section A.doc	Supporting Statement A	Uploaded 2014-06-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
26354	Motor Vehicle Occupant Safety Survey	Form	Modified	Version B Questionnaire
26354	Motor Vehicle Occupant Safety Survey	Form	Modified	Version A Questionnaire
26354	Motor Vehicle Occupant Safety Survey	Form and Instruction	Modified	Welcome Page
212000	MVOSS Usability Tests	Form	New	Version B Questionnaire
212000	MVOSS Usability Tests	Form	New	Version A Questionnaire
212000	MVOSS Usability Tests	Form and Instruction	New	Welcome Screen
211998	MVOSS Pilot Test	Form	New	Version B Questionnaire
211998	MVOSS Pilot Test	Form	New	Version A Questionnaire
211998	MVOSS Pilot Test	Form and Instruction	New	Welcome Screen

ICR Details

OMB Control No: 2127-0645	ICR Reference No: 201406-2127-006
Status: Historical Active	Previous ICR Reference No: 200603-2127-001
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Motor Vehicle Occupant Safety Survey
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/24/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/16/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved
Responses	13,560	0	0
Time Burden (Hours)	3,495	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NHTSA proposes to conduct the next administration of the Motor Vehicle Occupant Safety Survey (MVOSS), which the agency uses to track changes in public attitude, knowledge, and behavior related to occupant protection. The MVOSS also collects information related to Emergency Medical Services and crash experience. The survey is composed of two questionnaires, with one focusing on seat belt use and the other focusing on child occupant protection. Each questionnaire will be administered to an independently drawn national probability sample. The proposed MVOSS will involve a major change in methodology from the previous MVOSSs. It will select sample from an Address Based Sampling Frame, and will be Web-based. For those people who choose not to respond to the survey over the Web, NHTSA will offer paper (mail back) and telephone as alternative response modes.

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Authorizing Statute(s): US Code: 23 USC 403 Name of Law: Highway safety research and development
  

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 109	06/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 112	06/11/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
MVOSS Pilot Test	NHTSA Form 1020A, NHTSA Form 1020B, NHTSA FORM 1020	Welcome Screen ,   Version A Questionnaire ,   Version B Questionnaire
MVOSS Usability Tests	NHTSA Form 1020B, NHTSA Form 1020A, NHTSA FORM 1020	Welcome Screen ,   Version A Questionnaire ,   Version B Questionnaire
Motor Vehicle Occupant Safety Survey	NHTSA Form 1020A, NHTSA FORM 1020B, NHTSA FORM 1020	Welcome Page ,   Version A Questionnaire ,   Version B Questionnaire

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ICR Summary of Burden

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	13,560	0	0	13,560	0	0
Annual Time Burden (Hours)	3,495	0	0	3,495	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: This is a reinstatement with change. It requires a program change due to agency discretion to add the estimated 3,495 hours to develop and implement the next MVOSS. NHTSA seeks to obtain additional trend information on attitudes/awareness/behavior regarding occupant protection issues as well as respond to new information needs in those areas.

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Annual Cost to Federal Government: $340,000

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: 07/16/2014

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