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Evaluation of Correct Child Restraint System Installation
Evaluation of Correct Child Restraint System Installation
OMB: 2127-0721
IC ID: 219314
OMB.report
DOT/NHTSA
OMB 2127-0721
ICR 201512-2127-003
IC 219314
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1302
Evaluation of Correct Child Restraint System Installation
Form
NHTSA Form 1302 Informed Consent
Eval of CRS Install App D Informed Consent.docx
Form
NHTSA Form 1303 Recruitment Screener
Eval of CRS Install App E Recruitment Screen_Final.docx
Form
NHTSA Form 1304 Pre-Install Questionnaire
Eval of CRS Install App F Pre-Install_Final.docx
Form
NHTSA Form 1326 Post-Install Questionnaire
Eval of CRS Install App G Post-Install_Final.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Evaluation of Correct Child Restraint System Installation
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 1302
Informed Consent
Eval of CRS Install App D Informed Consent.docx
No
Paper Only
Form
NHTSA Form 1303
Recruitment Screener
Eval of CRS Install App E Recruitment Screen_Final.docx
No
Paper Only
Form
NHTSA Form 1304
Pre-Install Questionnaire
Eval of CRS Install App F Pre-Install_Final.docx
No
Paper Only
Form
NHTSA Form 1326
Post-Install Questionnaire
Eval of CRS Install App G Post-Install_Final.docx
No
Paper 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:
300
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
300
0
300
0
0
0
Annual IC Time Burden (Hours)
473
0
473
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.