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Vehicle Technology Determination
Recruitment and Debriefing of Human Subjects for Field Test of Vehicle Occupant Protection Technologies
OMB: 2127-0716
IC ID: 218415
OMB.report
DOT/NHTSA
OMB 2127-0716
ICR 201509-2127-003
IC 218415
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1284
Vehicle Technology Determination
Form
NHTSA Form 1284 Vehicle Technology Questionnaire
Vehicle Technology Questionnaire_NHTSA Form 1284_JK.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Vehicle Technology Determination
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 1284
Vehicle Technology Questionnaire
Vehicle Technology Questionnaire_NHTSA Form 1284_JK.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
25
0
25
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
