Information Collection

CISS: Interviews with Individuals Involved in Crashes

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1278 CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 1278 Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 1280 Supplemental Interview Form 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	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 %

table that charts list of burden
	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

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.