Information Collection

Crash Data Collection

IC 259204 under ICR 202303-2126-004 · OMB 2126-0079.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Survey Protocol 3 Crash Data Collection	Form and Instruction
Survey Protocol 3 Crash Data Collection ATTACHMENT G-DRAFT-CCFP-Survey-Protocol-IC-3-14APR2023.docx	Form and Instruction
Survey Protocol 3 Crash Data Collection ATTACHMENT G-DRAFT-CCFP-Survey-Protocol-IC-3 24AUG2023.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1.87

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	Survey Protocol 3	Crash Data Collection	ATTACHMENT G-DRAFT-CCFP-Survey-Protocol-IC-3 24AUG2023.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 208

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	208	208
Annual IC Time Burden (Hours)	163	163
Annual IC Cost Burden (Dollars)	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.