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Crash Investigation Sampling System (CISS)
Crash Investigation Sampling System (CISS)
OMB: 2127-0706
IC ID: 214797
OMB.report
DOT/NHTSA
OMB 2127-0706
ICR 201501-2127-004
IC 214797
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0706 can be found here:
2022-04-25 - Revision of a currently approved collection
2018-07-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1278
Crash Investigation Sampling System (CISS)
Form
NHTSA Form 1278 Interview Form
CISS Interview Form 1278.pdf
Form
NHTSA Form 1280 Supplemental Interview Form
CISS Supplemental Interview Form 1280.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Crash Investigation Sampling System (CISS)
Agency IC Tracking Number:
Is this a Common Form?
No
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 1278
Interview Form
CISS Interview Form 1278.pdf
No
Fillable Printable
Form
NHTSA Form 1280
Supplemental Interview Form
CISS Supplemental Interview Form 1280.pdf
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9,450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
9,450
0
9,450
0
0
0
Annual IC Time Burden (Hours)
5,605
0
5,605
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.