IC-3: Self-administered survey

Quantitative Data on Safety Belt Usage of Commercial Motor Vehicle Drivers

Documents and Forms

Document Name Document Type
Questionnaire FMCSA Online Survey on Safety Belt Usage of CMV Drivers 05.31.24.docx Other-Online Survey

Information Collection (IC) Details

IC Title:	IC-3: Self-administered survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.87

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey			Questionnaire FMCSA Online Survey on Safety Belt Usage of CMV Drivers 05.31.24.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
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.