Information Collection

CISS: Interviews with Individuals Involved in Crashes

IC 214797 under ICR 202508-2127-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1278 CISS Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 1280 CISS Supplemental Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 2046 CISS Non-Motorist Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 2049 CISS Motorcycle Other Driver Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 2048 CISS Motorcycle Passenger Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form NHTSA Form 2047 CISS Motorcycle Rider Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
Form HS Form 433D Child Restraints Interview Form CISS: Interviews with Individuals Involved in Crashes	Form
NHTSA Form 1278 CISS Interview Form Attachment 3-2025 CISS Interview Form-updated clean.pdf	Form
NHTSA Form 1280 CISS Supplemental Interview Form Attachment 3-2025 CISS Supplemental Interview Form-updated clean.pdf	Form
NHTSA Form 2046 CISS Non-Motorist Interview Form Attachment 3-2025 CISS Non-Motorist Interview-updated clean.pdf	Form
NHTSA Form 2049 CISS Motorcycle Other Driver Interview Form Attachment 3-2025 Motorcycle Other Driver Interview-updated clean.pdf	Form
NHTSA Form 2048 CISS Motorcycle Passenger Interview Form Attachment 3-2025 Motorcycle Passenger Interview Form-updated clean.pdf	Form
NHTSA Form 2047 CISS Motorcycle Rider Interview Form Attachment 3-2025 Motorcycle Rider Interview Form-updated clean.pdf	Form
HS Form 433D Child Restraints Interview Form Attachment 3-Child Seat Interview 2025.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

CISS: Interviews with Individuals Involved in Crashes

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1278	Yes	No	Fillable Printable
Form	NHTSA Form 1280	Yes	No	Fillable Printable
Form	NHTSA Form 2046	Yes	No	Fillable Printable
Form	NHTSA Form 2049	Yes	No	Fillable Printable
Form	NHTSA Form 2048	Yes	No	Fillable Printable
Form	NHTSA Form 2047	Yes	No	Fillable Printable
Form	HS Form 433D	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32,850

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 59 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	32,850	11,981	20,869
Annual IC Time Burden (Hours)	10,950	3,994	6,956
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.

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