Information Collection

Rider Partially Participates - Screened, Consented, Began One Survey Type

IC 277833 under ICR 202509-2127-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 2000 Screening and Informed Consent Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
Form NHTSA 2001 Motorcycle Footwear Survey Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
Form NHTSA 2002 Motorcycle Gloves Survey Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
Form NHTSA 2003 Motorcycle Helmet Survey Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
Form NHTSA 2004 Motorcycle Jackets Survey Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
Form NHTSA 2005 Motorcycle Pants Survey Rider Partially Participates - Screened, Consented, Began One Survey Type	Form and Instruction
NHTSA 2000 Screening and Informed Consent NHTSA Form 2000_Screening Informed Consent.docx	Form and Instruction
NHTSA 2001 Motorcycle Footwear Survey NHTSA Form 2001_ Footwear.docx	Form and Instruction
NHTSA 2002 Motorcycle Gloves Survey NHTSA Form 2002_Gloves.docx	Form and Instruction
NHTSA 2003 Motorcycle Helmet Survey NHTSA Form 2003_Helmets.docx	Form and Instruction
NHTSA 2004 Motorcycle Jackets Survey NHTSA Form 2004_Jackets.docx	Form and Instruction
NHTSA 2005 Motorcycle Pants Survey NHTSA Form 2005_Pants.docx	Form and Instruction

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA 2000	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA 2001	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA 2002	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA 2003	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA 2004	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA 2005	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	19	19
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.

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