Crash Investigation Sampling System (CISS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1278 Crash Investigation Sampling System (CISS)	Form	New	Available
OMB_package_supporting_statement for CISS JAN 2015 - Final Sec B GT.docx	Supporting Statement B	Uploaded 2015-02-12	Available
OMB_package_supporting_statement for CISS FEB 2015 - Final A _GT.docx	Supporting Statement A	Uploaded 2015-02-27	Available
CISS Attachment 6 HHS Letter.pdf	Supplementary Document	Uploaded 2015-01-28	Available
CISS Attachment 4 30day FRN.pdf	Supplementary Document	Uploaded 2015-01-28	Available
CISS Attachment 3 Proposed Data Elements.pdf	Supplementary Document	Uploaded 2015-01-28	Available
CISS Attachment 2 60day FRN.pdf	Supplementary Document	Uploaded 2015-01-28	Available
CISS Attachment 1 PL 89-563.pdf	Supplementary Document	Uploaded 2015-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214797	Crash Investigation Sampling System (CISS)	Form	New

ICR Details

OMB Control No: 2127-0706	ICR Reference No: 201501-2127-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Crash Investigation Sampling System (CISS)
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 with change	Conclusion Date: 07/27/2015
	Date Received in OIRA: 02/27/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	9,450	0	0
Time Burden (Hours)	5,605	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Crash Investigation Sampling System (CISS) data will be used to describe and analyze circumstances, mechanisms, and consequences of high severity motor vehicle crashes in the United States. These descriptions and analyses in turn will help to describe the magnitude of vehicle damage and injury severity as related to traffic safety problems. It will give motor vehicle researchers an opportunity to specify areas in which improvements may be possible, design countermeasure programs, and evaluate the effects of existing and proposed safety measures. Users include virtually every program area in NHTSA, other federal agencies such as the Federal Highway Administration, Federal Motor Carrier Safety Administration, state and local governments, domestic and foreign motor vehicle manufacturers, insurance and consumer organizations, safety research organizations, universities, foreign government agencies, and individual citizens.

---

Authorizing Statute(s): PL: Pub.L. 89 - 563 106, 108, and 112 Name of Law: National Traffic and Motor Vehicle Safety Act of 1966
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 27047	05/12/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 53250	09/08/2014
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Crash Investigation Sampling System (CISS)	NHTSA Form 1278, NHTSA Form 1280	Interview Form ,   Supplemental Interview Form

---

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	9,450	0	0	9,450	0	0
Annual Time Burden (Hours)	5,605	0	0	5,605	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 program change is a result of the new system creating an additional 5,605 burden hours to NHTSA's overall total.

---

Annual Cost to Federal Government: $12,530

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

---

Common Form ICR:  No

---

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: 02/27/2015

---