Form NHTSA Form 1076 NHTSA Form 1076 Questions for Dealers Participating in the CARS Program

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OMB Clearance No. 2127-0602

NHTSA Form 1076 Expiration Date: 2/28/2010

QUESTIONS FOR DEALERS PARTICIPATING IN THE CARS PROGRAM

• How many $3500 Car Allowance Rebate System (CARS) transactions has your dealership entered into the CARS Invoice Entry web site? Please include all invoices entered including submitted and saved.

Count: ______

• How many $4500 CARS transactions has your dealership entered into the CARS Invoice Entry web site? Please include all invoices entered including submitted and saved.

Count: ______

• How many $3500 CARS transactions has your dealership NOT YET BEGUN entering into the CARS Invoice Entry web site?

Count: ______

• How many $4500 CARS transactions has your dealership NOT YET BEGUN entering into the CARS Invoice Entry web site?

Count: ______

Paperwork Reduction Act Burden Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0602. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590.