Crash Investigation Sampling System (CISS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0706 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1278 Crash Investigation Sampling System (CISS) Form
NHTSA Form 1278 Interview Form CISS Interview Form 1278.pdf Form
NHTSA Form 1280 Supplemental Interview Form CISS Supplemental Interview Form 1280.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Crash Investigation Sampling System (CISS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1278	Interview Form	CISS Interview Form 1278.pdf		No		Fillable Printable
Form	NHTSA Form 1280	Supplemental Interview Form	CISS Supplemental Interview Form 1280.pdf		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,450	9,450
Annual IC Time Burden (Hours)	5,605	5,605
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.