Form NHTSA Form 1383 NHTSA Form 1383 DBE Questionnaire

OMB Control No. 2127-0682

Expiration Date 04/31/2018

U.S. DOT DBE Summit: Access to Opportunity for the DBE/Small Business Community

This collection of information is voluntary and will be used for formative purposes only so that we may develop communications programs designed to reduce the number of traffic-related injuries and deaths. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0682. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590

Summit Questions:

1. How did you learn about the summit?

2. Was there enough time for attendees to network?

3. Were you given an opportunity to share experiences and express concerns?

4. How was the information communicated in the panel sessions received?

5. Were the subjects covered helpful?

6. Were the individual sessions long enough?

7. What other topics would you like to see covered?

8. Do you prefer the panel or workshop format?

9. Did you have enough opportunity to provide input?

10. Were the appropriate Subject Matter Experts on the panels?

11. What recommendations do you have for the next summit?

NHTSA Form 1383