Crash Investigation Sampling System (CISS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0706 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1278 Crash Investigation Sampling System (CISS) Form
NHTSA Form 1278 Interview Form Cover Sheet Attachment 7 - 2018 CISS Interview Form 1278.pdf Form
NHTSA Form 1280 Supplemental Interview Form Attachment 7 - 2018 CISS Supplemental Interview Form 1280.pdf Form
NHTSA Form 1279 Interview Form Attachment 7 - 2018 CISS Interview Form 1279.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Crash Investigation Sampling System (CISS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	NHTSA Form 1278	Interview Form Cover Sheet	Attachment 7 - 2018 CISS Interview Form 1278.pdf	No	Fillable Printable
Form	NHTSA Form 1280	Supplemental Interview Form	Attachment 7 - 2018 CISS Supplemental Interview Form 1280.pdf	No	Fillable Printable
Form	NHTSA Form 1279	Interview Form	Attachment 7 - 2018 CISS Interview Form 1279.pdf	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	9,450	9,450
Annual IC Time Burden (Hours)	5,605	5,605
Annual IC Cost Burden (Dollars)	0	0

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.