Information Collection

Bar Patron Surveys

IC 200679 under ICR 201412-2127-002 · OMB 2127-0709.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1122 Bar Patron Surveys	Form
NHTSA Form 1122 Bar Patron Questionnaires Appendix_F_Bar_Patron_Questionnaires1.doc	Form
NHTSA Form 1122 Bar Patron Questionnaires Appendix_F_Bar_Patron_Questionnaires1.doc	Form

IC Title:

Bar Patron Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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 1122	Bar Patron Questionnaires	Appendix_F_Bar_Patron_Questionnaires1.doc		No		Fillable Fileable
Form	NHTSA Form 1122	Bar Patron Questionnaires	Appendix_F_Bar_Patron_Questionnaires1.doc		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	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	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.