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Track B End of Visit Release
Examining Distraction and Driver Monitoring Systems to Improve Driver Safety
OMB:
IC ID: 261999
OMB.report
NHTSA
ICR 202308-2127-003
IC 261999
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1721
Track B End of Visit Release
Form
NHTSA Form 1721 End of Visit Release Agreement
FormG_NHTSA Form 1721_EndOfVisitReleaseAgreement(EVRA).docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Track B End of Visit Release
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 1721
End of Visit Release Agreement
FormG_NHTSA Form 1721_EndOfVisitReleaseAgreement(EVRA).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
16
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
16
0
16
0
0
0
Annual IC Time Burden (Hours)
1
0
1
0
0
0
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.
