Information Collection

Evaluation of Correct Child Restraint System Installation

IC 219314 under ICR 201512-2127-003 · OMB 2127-0721.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1302 Evaluation of Correct Child Restraint System Installation	Form
NHTSA Form 1302 Informed Consent Eval of CRS Install App D Informed Consent.docx	Form
NHTSA Form 1303 Recruitment Screener Eval of CRS Install App E Recruitment Screen_Final.docx	Form
NHTSA Form 1304 Pre-Install Questionnaire Eval of CRS Install App F Pre-Install_Final.docx	Form
NHTSA Form 1326 Post-Install Questionnaire Eval of CRS Install App G Post-Install_Final.docx	Form

IC Title:

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	Available Electronically?	Electronic Capability
Form	NHTSA Form 1302	Informed Consent	Eval of CRS Install App D Informed Consent.docx	No	Paper Only
Form	NHTSA Form 1303	Recruitment Screener	Eval of CRS Install App E Recruitment Screen_Final.docx	No	Paper Only
Form	NHTSA Form 1304	Pre-Install Questionnaire	Eval of CRS Install App F Pre-Install_Final.docx	No	Paper Only
Form	NHTSA Form 1326	Post-Install Questionnaire	Eval of CRS Install App G Post-Install_Final.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	473	473
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.