Information Collection

SCI: Interview with Individuals Involved in Crashes

IC 252897 under ICR 202204-2127-002 · OMB 2127-0706.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1278 SCI: Interview 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:	SCI: Interview with Individuals Involved in Crashes	Agency IC Tracking Number:

Is this a Common Form? No		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 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 Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 61 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	67	67
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.