Older Driver Rearview Video Systems Screening Questions

Older Driver Rearview Video Systems

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0731 can be found here:

Documents and Forms

Document Name Document Type
Form 1398 Older Driver Rearview Video Systems Screening Questions Form and Instruction
1398 Screening Questions Older Driver Rearview Video Systems ICR Form 1398.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Older Driver Rearview Video Systems Screening Questions	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 and Instruction	1398	Screening Questions	Older Driver Rearview Video Systems ICR Form 1398.docx		Yes	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	621	621

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.