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Impaired Driving Gallup Poll - 2006 Customer Satisfaction Survey
NHTSA Customer Satisfaction Surveys
OMB: 2127-0579
IC ID: 44599
OMB.report
DOT/NHTSA
OMB 2127-0579
ICR 200608-2127-002
IC 44599
( )
Documents and Forms
Document Name
Document Type
Form NHTSA 1015
Impaired Driving Gallup Poll - 2006 Customer Satisfaction Survey
Form and Instruction
NHTSA 1015 Impaired Driving Gallup Poll Questions
Impaired Driving Gallup Poll Questions 7 11 06 FINAL.doc
Form and Instruction
Gallup Methodology Final 7.11.06.doc
Impaired Driving Gallup Poll Methodology
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Impaired Driving Gallup Poll - 2006 Customer Satisfaction Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
NHTSA 1015
Impaired Driving Gallup Poll Questions
Impaired Driving Gallup Poll Questions 7 11 06 FINAL.doc
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
600
0
600
0
0
0
Annual IC Time Burden (Hours)
50
0
50
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Impaired Driving Gallup Poll Methodology
Gallup Methodology Final 7.11.06.doc
08/10/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.