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Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign
 
New
 
Voluntary
 

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

Transportation Ground Transportation

 

771 0
   
Individuals or Households
 
   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

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.