Child Passenger Safety Online Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1512 Child Passenger Safety Online Survey Form
NHTSA Form 1512 Child Passenger Safety Wave Ad Council_Questionnaire_Child Passenger Safety_Wave_Final_9.24.20 rev2.docx Form
Fast Track Clearance Request_Child Passenger Safety_Online Survey_9.23.2.._ (002).docx Generic Clearance Request IC Document

Information Collection (IC) Details

IC Title:	Child Passenger Safety Online Survey	Agency IC Tracking Number:

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	NHTSA Form 1512	Child Passenger Safety Wave	Ad Council_Questionnaire_Child Passenger Safety_Wave_Final_9.24.20 rev2.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	259	259
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	Fast Track Clearance Request_Child Passenger Safety_Online Survey_9.23.2.._ (002).docx	09/30/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.