Appendix C to Part 1240—Certification (Calendar Year 1998 Survey Based on Survey Approved Under 23 U.S.C. 153)

Seat Belt Use Rate Reported for Calendar Year ________ : ________ %. In accordance with the provisions of 23 CFR 1240.12(c)(2), I hereby certify as follows: 1. The seat belt use rate reported above is based on a survey whose design was approved by NHTSA, in writing, on or after June 29, 1992, under the provisions of the grant program authorized by 23 U.S.C. 153. 2. The survey design has remained unchanged since the survey was approved (except to the extent that the requirements of paragraph 3 constitute a change). 3. The survey samples all passenger motor vehicles (including cars, pickup trucks, vans, minivans, and sport utility vehicles), measures seat belt use by all front outboard occupants in the sampled vehicles, and counts seat belt use completely within the calendar year for which the seat belt use rate is reported. Governor's Representative for Highway Safety (Date)