Tween Seat Belt 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⚠️ Notice: This information collection may be referencing outdated material.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 1272 Tween Seat Belt Safety Online Survey Form
NHTSA Form 1272 Tween Seat Belt Safety Online Survey Fast Track Clearance Request_Tween Seat Belt Safety_Online Survey_9.22.2.._ (002).docx Form
Fast Track Clearance Request_Tween Seat Belt Safety_Online Survey_9.22.2.._ (002).docx Fast Track Clearance Request IC Document

Information Collection (IC) Details

IC Title:	Tween Seat Belt 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 1272	Tween Seat Belt Safety Online Survey	Fast Track Clearance Request_Tween Seat Belt Safety_Online Survey_9.22.2.._ (002).docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,900	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	3,900	3,900
Annual IC Time Burden (Hours)	283	283
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Clearance Request	Fast Track Clearance Request_Tween Seat Belt Safety_Online Survey_9.22.2.._ (002).docx	10/08/2020

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