Information Collection

Consumer Compliant Information

IC 26141 under ICR 202212-2127-002 · OMB 2127-0008.

Documents and Forms

Document Name Document Type
Form HS 350 Consumer Compliant Information Form and Instruction
HS 350 Vehicle Owners Questionnaire 2127-0008 VOQ.pdf www.safercar.gov Form and Instruction
HS 350 Vehicle Owners Questionnaire 2127-0008 VOQ.pdf www.safercar.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Compliant Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 577 49 CFR 573

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HS 350	Vehicle Owners Questionnaire	2127-0008 VOQ.pdf	www.safercar.gov	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	58,350	-10,831	69,181
Annual IC Time Burden (Hours)	9,725	-7,570	17,295
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.