Survey Form 1805 - Modules 1 & 2

National Traffic Safety Survey

Documents and Forms

Document Name Document Type
Form 1805 Survey Form 1805 - Modules 1 & 2 Form and Instruction
1805 National Traffic Safety Survey - Modules 1 & 2 NTSS_Form1805_Survey_Modules1&2_03-12-2025.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Survey Form 1805 - Modules 1 & 2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	1805	National Traffic Safety Survey - Modules 1 & 2	NTSS_Form1805_Survey_Modules1&2_03-12-2025.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 681	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	681	681
Annual IC Time Burden (Hours)	341	341
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.