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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign
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 and Instruction
NHTSA Form 1590
Heatstroke Screener - English
01_Heatstroke 2021 Gen Pop Screener_FINAL 20210202.docx
Yes
Yes
Fillable Fileable
Form and Instruction
NHTA Form 1590
Heatstroke Discussion Guide - English
03_Heatstroke 2021 Discussion Guide_FINAL 20210202.docx
Yes
Yes
Fillable Fileable
Form and Instruction
NHTSA 1592
Heatstroke Screener - Hispanic
Heatstroke 2021 Hispanic Screener_FINAL 20210202_ES-US.DOCX
Yes
Yes
Fillable Fileable
Form and Instruction
NHTSA Form 1592
Heatstroke Discussion Guide - Hispanic
Heatstroke 2021 Discussion Guide_HISPANIC FINAL 20210202_ES-US.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:
771
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
771
0
771
0
0
0
Annual IC Time Burden (Hours)
120
0
120
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Claerance Request
04_Heatstroke 2021 NHTSA Generic Clearance Submission_FINAL 20210202.docx
02/10/2021
Heatstroke Concept
Heatstroke Video Concept Package for OMB_FINAL 20210202.pdf
02/10/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.