Information Collection

Countermeasures At Work

IC 221741 under ICR 201704-2127-001 · OMB 2127-0727.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 1344 Countermeasures At Work	Form and Instruction
NHTSA 1344 Countermeasures At Work End User Survey Appendix C-2 - Form 1344 CMAW.docx	Form and Instruction

IC Title:

Countermeasures At Work

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	NHTSA 1344	Countermeasures At Work End User Survey	Appendix C-2 - Form 1344 CMAW.docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	300	300
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.