Information Collection

NHTSA Survey of Law Enforcement Officers/Agencies Command-Level

IC 219612 under ICR 201601-2127-003 · OMB 2127-0719.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1328 NHTSA Survey of Law Enforcement Officers/Agencies Command-Level	Form and Instruction
1328 Consent Form - Command-level Staff Attachment D3a - Informed Consent - Agency Head.docx	Form and Instruction
1329 Agency Head Interview Attachment D3b - Agency Head Interview.docx	Form and Instruction

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1328	Consent Form - Command-level Staff	Attachment D3a - Informed Consent - Agency Head.docx		No		Fillable Printable
Form and Instruction	1329	Agency Head Interview	Attachment D3b - Agency Head Interview.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	40	40
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	1,001	1,001

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.