Information Collection

Appendix B - Switch Request Form

IC 281135 under ICR 202606-2127-010 · OMB 2127-0588.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
7120_AirBagRequestForm_070213_v3.pdf Air Bag Switch Request Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 595

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

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	230	230

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Air Bag Switch Request Form		06/25/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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