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	ATTACHMENT C3
	
	SUPPLIERS SURVEY FORM
	
	
	
	
	
	
		| 
			. 
			NHTSA
			Tire Pressure Monitoring System—Outage Rates and
			Repair Costs
 
 
 | 
	
		| 
			Suppliers
			Survey | 
			  | 
			United States Department of
			TransportationNational Highway Traffic Safety Administration
 | 
Paperwork
Reduction Act Information:
A federal agency may not conduct or
sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a
collection of information subject to the requirements of the
Paperwork Reduction Act unless that collection of information
displays a current valid OMB Control Number.  The OMB Control Number
for this information collection is 2127-0626 (Expiration date:
XX/XX/XXXX).  Public reporting for this collection of information is
estimated to be approximately 20 minutes per response, including the
time for reviewing instructions, completing and reviewing the
collection of information.  All responses to this collection of
information are voluntary.  Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to: Information
Collection Clearance Officer, National Highway Traffic Safety
Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590.  
NHTSA Form 1275.
	
	
		| 
			Thank
			you in advance for your time in completing the NHTSA Tire
			Pressure Monitoring System—Outage Rates and Repair Costs
			(TPMS-ORRC) Survey. You are being asked to complete this survey
			because your company has been identified as a possible supplier of
			TPMS components or systems. While your participation is important
			to NHTSA, it is entirely voluntary. Your input will remain
			anonymous and the survey is not part of any recall investigation.
			No specific information on pricing or intellectual property
			will be released to the public. Only aggregate information
			will be reported. | 
If
you wish to return this questionnaire under a claim of
confidentiality, please take the following steps:
	- 
	Send
	3 copies of the complete submission, including the
	information your company claims to be confidential business
	information, to: 
	 
Chief
Counsel, National Highway Traffic Safety Administration
1200
New Jersey Avenue, SE
Washington,
DC  20590
The
complete package should be in conformance with 49 CFR Part 512.
	- 
	Send
	1 copy of the completed survey to ICF International with the
	confidential business information deleted to: 
ICF
International, Inc.
TPMS-ORRC
Survey
980
Beaver Creek Drive 
Martinsville,
VA   24112
 
 
When
filling out the following form, please:
	- 
	Fill
	in the ovals completely 
	 
- 
	For
	numbers, print legibly within the boxes.  Example: 
	|0|5|. 
- 
	For
	written explanations, print legibly on or within the
	lines. 
	 
- 
	Please
	do not make any stray marks. 
If
you have any questions or concerns, please contact ICF.
	
	
		
			| 
				SECTION
				1.	INTRODUCTION | 
	
	
		
			| 
				
 When
				completing this survey, please consider the sources of TPMS
				malfunction of which you and your company are aware, the number
				of replacement components or systems that are distributed by your
				company, and the price of those components. For this survey, a
				TPMS malfunction is defined as any time a TPMS system is not
				working correctly—including problems with the sensors or
				the on-board components. | 
	
	
	
	
		| 
			SECTION
			2.	TPMS MALFUNCTION SOURCES | 
			
 | 
	
		| 
			
 
				Is
				your company involved in the design, manufacture or other aspects
				of the TPMS supply industry? Please
				choose one
				response. 
  O
			 Yes,
			direct systems only
  O
			 Yes,
			indirect systems only
 O
			 Yes,
			both direct and indirect systems O
			 No
			→ GO
			TO SECTION 5 
 IF
			YES TO Q1: 
			1a.
			For each category of direct and indirect TPMS components listed
			below, please indicate the role(s) your company serves in the TPMS
			supply chain. If your company is not involved with a specific
			component, leave the entire row for that component blank. 
 
				
					
				
				
					
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
						| 
							
 | 
							
 | 
							Company
							Role (SELECT ALL THAT APPLY) |  
						| 
							
 | 
							Component | 
							Technology
							Development | 
							System
							Engineering | 
							Manufacturing | 
							Marking
							/ Distribution | 
							Other:
							Specify |  
						| 
							DIRECT | Rim-mounted
								sensor
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| Stem-mounted
								sensor
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| On-board
								hardware (e.g., processing unit)
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| Software
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| 
							INDIRECT | Chassis-mounted
								sensor (e.g., wheel speed sensor)
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| On-board
								hardware (e.g., processing unit)
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| Software
 | 
							O | 
							O | 
							O | 
							O | 
							
 |  
						| 
							
 | 
							  
 | 
							
          
							IF
							YOU INDICATED INDIRECT
							SYSTEMS ONLY
							IN Q1, GO TO Q3 
 | 
							
 |  
 | 
			
 | 
	
		| 
			SECTION
			2.	TPMS MALFUNCTION SOURCES (continued) | 
	
		| 
			
 
				In
				general, when direct
				TPMS malfunctions occur, how often are they associated with the
				following equipment? 
 
				
				
					
					
					
					
					
					
					
					
						| 
							
 | 
							Almost Always | 
							Often | 
							Sometimes | 
							Rarely | 
							Almost Never |  
						| Tire
								pressure sensor battery (e.g., depleted)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| Tire
								pressure module (e.g., damaged, corroded)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| On-board
								hardware (e.g., TPMS receiver failure)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| Software
								(e.g., false warning light indication)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| 
								Other
 
							Specify: | 
							
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
			
 
 
				
				
					
					
					
						| 
							  | 
							IF
							YOU INDICATED DIRECT
							SYSTEMS ONLY
							IN Q1, GO TO Q4 |  
 
				
				In
				general, when indirect
				TPMS malfunctions occur, how often are they associated with the
				following equipment? 
				
				
					
					
					
					
					
					
					
					
						| 
							
 | 
							Almost Always | 
							Often | 
							Sometimes | 
							Rarely | 
							Almost Never |  
						| Chassis
								sensors (e.g., damaged)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| On-board
								hardware (e.g., wheel speed sensor failure)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| Software
								(e.g., false warning light indication)
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
						| 
								Other
 
							Specify: | 
							
 | 
							O | 
							O | 
							O | 
							O | 
							O |  
 
			
 
				What
				sources of information informed your ratings to the preceding
				question about TPMS component replacement? Please
				select all that apply. 
			
 
			O
			 Feedback from customers 
			O
			 Field surveys 
			O
			 Warranty reports 
			O
			 Other: Specify _________________________________________ 
 
 | 
	
	
		| 
			SECTION
			3. 	TPMS DESIGN | 
	
		| 
			
 
				
				Please
				think about any major design changes your company has made to
				TPMS parts in
				the last 5 model years.
				For each TPMS part in the table below, please indicate the
				following: 
 
				The
				number of major design changes your company has made,How
				many of these changed designs were still interchangeable with
				parts in older vehicles,Which
				model years were affected by these changes, andThe
				cumulative effect of all of these design changes for this part
				(e.g., increased durability, increased accuracy) If
			your company has not made any major changes to a component in the
			last 5 model years, leave that entire row blank. 
 
				
					
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
						| 
							
 | 
							
 | 
							MAJOR CHANGES IN THE LAST 5 MODEL
							YEARS |  
						| 
							
 | 
							Component | 
							Number
							of Major Changes | 
							Number
							Inter-changeable | 
							Model
							Years Affected | 
							Cumulative
							Result |  
						| 
							DIRECT | Rim-mounted
								sensor
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
						| Stem-mounted
								sensor
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
						| On-board
								hardware (e.g., processing unit)
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
						| Software
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
						| 
							INDIRECT | Chassis-mounted
								sensor  (e.g., wheel speed sensor)
 | 
							
 | 
							
 | 
							
 | 
							
 |  
						| On-board
								hardware (e.g., processing unit)
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
						| Software
 | 
							
 | 
							
 | 
							
 | 
							
 
 
 |  
 
				If
				your company is planning any major design changes to TPMS parts
				in the next five model years, please briefly describe them below: 
				
				
			 
 | 
	
	
		| 
			SECTION
			4. 	TPMS REPAIR PRICE | 
	
		| 
			
 
				
				What
				is your average price of a TPMS system (sensor, module, etc.) for
				the types of customers listed in the table below? Please indicate
				the price point in the supply chain (e.g., as sold to vehicle
				manufacturer or end-retail customer). Please also include your
				volume range for the price. If your company does not supply a
				particular type of customer, leave that entire row blank. 
				
					
					
					
				
				
					
				
				
					
				
				
					
				
				
					
				
				
					
					
				
				
					| 
						
 | 
						
 | 
						
 | 
						DIRECT
						Systems | 
						INDIRECT
						Systems | 
						
 | 
						
 |  
					| 
						
 | 
						
 | 
						Customer
						Type | 
						Price | 
						Volume Range | 
						Price | 
						Volume Range | 
						
 | 
						
 |  
					| 
						
 | 
						
 | Vehicle
							manufacturer
 | 
						$ | 
						
 | 
						$ | 
						
 | 
 | 
 |  
					| 
						
 | 
						
 | Aftermarket
							parts wholesaler
 | 
						$ | 
						
 | 
						$ | 
						
 | 
 | 
 |  
					| 
						
 | 
						
 | Service
							facility
 | 
						$ | 
						
 | 
						$ | 
						
 | 
 | 
 |  
					| 
						
 | 
						
 | End-retail
							customer
 | 
						$ | 
						
 | 
						$ | 
						
 | 
 | 
 |  
					| 
						
   
 | 
						
 
           IF
						YOU INDICATED INDIRECT
						SYSTEMS ONLY
						IN Q1, GO TO Q9 | 
						
 |  
					| 
						
 
							What
							is your average price for the following commonly replaced
							direct
							TPMS parts? Please indicate the price point in the supply
							chain (e.g., as sold to TPMS system integrator, vehicle
							manufacturer).		 
							
							
								
								
								
								
								
									| 
										Customers
										of Direct TPMS Systems | 
										Direct
										sensor module (in-wheel, both stem and rim) | 
										On-board
										Hardware (e.g., Processing Unit) | 
										Software |  
									| TPMS
											system integrator
 | 
										$ | 
										$ | 
										$ |  
									| Vehicle
											manufacturer
 | 
										$ | 
										$ | 
										$ |  
									| Aftermarket
											wholesaler
 | 
										$ | 
										$ | 
										$ |  
									| Service
											facility
 | 
										$ | 
										$ | 
										$ |  
									| End-retail
											customer
 | 
										$ | 
										$ | 
										$ |  
 |  
					| 
						
   
 | 
						
 
						
 
						          IF
						YOU INDICATED DIRECT
						SYSTEMS ONLY
						IN Q1, GO TO SECTION 5 | 
						
 |  
 
				
				What
				is your average price for the following commonly replaced
				indirect
				TPMS parts? Please indicate the price point in the supply chain
				(e.g., as sold to TPMS system integrator, vehicle manufacturer).	 
				
				
					
					
					
					
					
						| 
							Customers
							of Indirect TPMS Systems | 
							Indirect
							sensing components | 
							On-board
							Hardware (e.g., Processing Unit) | 
							Software |  
						| TPMS
								system integrator
 | 
							$ | 
							$ | 
							$ |  
						| Vehicle
								manufacturer
 | 
							$ | 
							$ | 
							$ |  
						| Aftermarket
								wholesaler
 | 
							$ | 
							$ | 
							$ |  
						| Service
								facility
 | 
							$ | 
							$ | 
							$ |  
						| End-retail
								customer
 | 
							$ | 
							$ | 
							$ |  
 | 
	
		| 
			SECTION
			5.  END | 
Thank
you! You have completed the survey. 
The
information you have provided will help NHTSA better understand how
current TPMS systems serve their intended function in the real world.
Please
return this survey in the postage-paid envelope provided.
See
the front page for instructions.
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-25 |