Information Collection

Crash Investigation Sampling System (CISS)

IC 214797 under ICR 201501-2127-004 · OMB 2127-0706.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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 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 %

table that charts list of burden
	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

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.