Information Collection

Consumer Compliant Information

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.