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State Website (user access only)
Crash Report Sampling System (CRSS)
OMB: 2127-0714
IC ID: 238343
OMB.report
DOT/NHTSA
OMB 2127-0714
ICR 202212-2127-001
IC 238343
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1696
State Website (user access only)
Form
NHTSA Form 1696 Crash Report Sampling System Form
RBIS CRSS 2022_Dec192022.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Website (user access only)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
49 CFR 501.1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NHTSA Form 1696
Crash Report Sampling System Form
RBIS CRSS 2022_Dec192022.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
76 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
11
0
0
6
0
5
Annual IC Time Burden (Hours)
110
0
0
70
0
40
Annual IC Cost Burden (Dollars)
0
0
0
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.
