Demographic Determination

Recruitment and Debriefing of Human Subjects for Field Test of Vehicle Occupant Protection Technologies

Documents and Forms

Document Name Document Type
Form NHTSA Form 1283 Demographic Determination Form
NHTSA Form 1283 Demographic Questionnaire Demographic Questionnaire_NHTSA Form 1283_JK.docx Form

Information Collection (IC) Details

IC Title:	Demographic Determination	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 1283	Demographic Questionnaire	Demographic Questionnaire_NHTSA Form 1283_JK.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	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.