Information Collection

CISS: Interviews with Individuals Involved in Crashes

IC 214797 under ICR 202204-2127-002 · OMB 2127-0706.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1278 CISS: Interviews with Individuals Involved in Crashes Form
NHTSA Form 1278 Interview Form 2019 CISS Interview Form (1).pdf Form
NHTSA Form 1278 Interview Form 2019 CISS Interview Form (1).pdf Form
NHTSA Form 1280 Supplemental Interview Form 2019 CISS Supplemental Interview Form (1).pdf Form
NHTSA Form 1280 Supplemental Interview Form 2019 CISS Supplemental Interview Form (1).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CISS: Interviews with Individuals Involved in Crashes	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1278	Interview Form	2019 CISS Interview Form (1).pdf		No		Fillable Printable
Form	NHTSA Form 1280	Supplemental Interview Form	2019 CISS Supplemental Interview Form (1).pdf		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,869	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 59 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,869	11,419	9,450
Annual IC Time Burden (Hours)	6,956	1,351	5,605
Annual IC Cost Burden (Dollars)	0	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.