Information Collection

Survey Form 1807 - Modules 1 & 4

IC 269546 under ICR 202407-2127-003 · OMB 2127-0772.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0772 can be found here:

Documents and Forms

Document Name Document Type
Form 1807 Survey Form 1807 - Modules 1 & 4 Form and Instruction
1807 National Traffic Safety Survey - Modules 1 & 4 NTSS_Form1808_Survey_Modules2&3_07.03.24.docx Form and Instruction
1807 National Traffic Safety Survey - Modules 1 & 4 NTSS_Form1807_Survey_Modules1&4_07.03.24.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey Form 1807 - Modules 1 & 4	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 and Instruction	1807	National Traffic Safety Survey - Modules 1 & 4	NTSS_Form1807_Survey_Modules1&4_07.03.24.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 681	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	681	681
Annual IC Time Burden (Hours)	341	341
Annual IC Cost Burden (Dollars)	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.