Information Collection

Impaired Driving Gallup Poll - 2006 Customer Satisfaction Survey

IC 44599 under ICR 200608-2127-002 · OMB 2127-0579.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.