National Survey of the Use of Booster Seats

Documents and Forms

Document Name Document Type
Form NHTSA Form 1010 National Survey of the Use of Booster Seats Form
NHTSA Form 1010 National Survey of the Use of Booster Seats Interview Forms (2).docx Form
NHTSA Form 1010 National Survey of the Use of Booster Seats Interview Forms (2).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of the Use of Booster Seats	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 1010	National Survey of the Use of Booster Seats	Interview Forms (2).docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,300	500	4,800
Annual IC Time Burden (Hours)	376	36	340
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.