View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NHTSA_CCS_2019 Communications Checks	Agency IC Tracking Number:

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	NHTSA Form 1306	Online Study Screener	NHTSA_CCS_2019_Communication Checks Screener_061219 (002).docx		Yes	Yes	Fillable Fileable
Form	NHTSA Form 1436	Online Survey Questions	NHTSA_CCS_2019_Communication Checks Questionnaire_061219 (002).docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	500	0	500	0	0	0
Annual IC Time Burden (Hours)	25	0	25	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NHTSA_CCS_2019_Communication Checks Generic Clearance	NHTSA_CCS_2019_Communications Checks Generic Clearance_062419.docx	07/02/2019
AdCouncil	AdCouncilNHTSA_6.12.19.pdf	07/02/2019

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