Information Collection

Older Driver Rearview Video Systems Screening Questions

IC 228910 under ICR 201711-2127-001 · OMB 2127-0731.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

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)	25	25
Annual IC Cost Burden (Dollars)	621	621

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.