Countermeasures That Work

Forms and Documents

Document Name	Status
Form NHTSA 1344 Countermeasures At Work Form and Instruction	Unchanged
Form NHTSA 1433 Countermeasures That Work Form and Instruction	Unchanged
Part B.docx Supporting Statement B	2017-04-06
Part A.docx Supporting Statement A	2017-04-06
Appendix B-2 - 30-Day Federal Register Notice.pdf Supplementary Document	2016-05-31
Appendix B-1 - 60-Day Federal Register Notice.pdf Supplementary Document	2016-05-31
Appendix A - Authority.docx Supplementary Document	2016-05-31

IC Document Collections

IC ID	Document Title	Status
221741	Countermeasures At Work Form and Instruction	Unchanged
221740	Countermeasures That Work Form and Instruction	Unchanged

ICR Details

OMB Control No: 2127-0727	ICR Reference No: 201704-2127-001
Status: Historical Active	Previous ICR Reference No: 201605-2127-003
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Countermeasures That Work
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/12/2017
	Date Received in OIRA: 04/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved
Responses	250	0	0
Time Burden (Hours)	375	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NHTSA proposes to collect user feedback and input on the Countermeasures That Work and Countermeasures At Work guides. To collect this information for the 10th edition of Countermeasures That Work and the new guide effort, Countermeasures At Work, NHTSA is requesting approval to conduct surveys (NHTSA Forms 1343 and 1344) of representatives from the State Highway Safety Offices (SHSOs) and/or local jurisdictions, in addition to representatives from the Governors Highway Safety Association (GHSA), State Coordinators, and other relevant stakeholders. The data collected in this study will help to better understand user needs and information requirements which will be used to update the content of Countermeasures That Work and develop and populate Countermeasures At Work.

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Authorizing Statute(s): US Code: 23 USC 403 Name of Law: Highway safety research and development
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 15147	03/21/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 30607	05/17/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Countermeasures That Work	NHTSA 1433	Countermeasures That Work End User Survey
Countermeasures At Work	NHTSA 1344	Countermeasures At Work End User Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	250	0	0	250	0	0
Annual Time Burden (Hours)	375	0	0	375	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The reason for the program change is this is a set of new surveys which will increase NHTSA's overall burden hour total by 375 hours over the course of four years, or 93.75 hours yearly.

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Annual Cost to Federal Government: $137,759

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/06/2017

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