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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke
Agency IC Tracking Number:
Ready for OST Review
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 1725
Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (English)
Discussion Guide EN - Pediatric Vehicular Heatstroke - 8.9.23.docx
Yes
Yes
Printable Only
Form
NHTSA Form 1727
Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (Spanish)
Discussion Guide SP - Pediatric Vehicular Heatstroke - 8.14.23.docx
Yes
Yes
Printable Only
Form
NHTSA Form 1724
Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups General Market Audience
Screener EN - Pediatric Vehicular Heatstroke - 8.9.23.docx
Yes
Yes
Printable Only
Form
NHTSA Form 1726
Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups Spanish Language Audience
Screener SP - Pediatric Vehicular Heatstroke - 8.9.23.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
420
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
420
0
420
0
0
0
Annual IC Time Burden (Hours)
112
0
112
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Heatstroke English Concepts for Testing
731AdCouncil_Heastroke_Testing.pdf
08/15/2023
Heatstroke Spanish Concepts for Testing
725_AdCouncil_Heastroke_Testing_En EspaƱol.pdf
08/15/2023
Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke
Fast Track Generic Clearance - Pediatric Vehicular Heatstroke - 8.14.23.docx
08/18/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.