Countermeasures That Work

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0727 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA 1433 Countermeasures That Work Form and Instruction
NHTSA 1433 Countermeasures That Work End User Survey Appendix C-1 - Form 1343 CMTW.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Countermeasures That Work	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	NHTSA 1433	Countermeasures That Work End User Survey	Appendix C-1 - Form 1343 CMTW.docx		No		Fillable Fileable

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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	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.