Information Collection

Recruitment Screener

IC 273141 under ICR 202412-2127-009 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form - 1840 Recruitment Screener	Form
Form NHTSA Form - 1840 Recruitment Screener Recruitment Screener	Form
NHTSA Form - 1840 Recruitment Screener VTTI 693JJ922F00195N (LC) - Form001 Recruitment Screening Form rev.docx	Form
NHTSA Form - 1840 Recruitment Screener VTTI 693JJ922F00195N (LC) - Form001 Recruitment Screening Form rev.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	NHTSA Form - 1840				No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 113

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	113	113
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	986	986

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.

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