Demonstration of Speed Management Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA 1055 Demonstration of Speed Management Programs	Form and Instruction	New	Available
DTHN22-07-R-00056 _PR No_ NTI-07-02631_TECHNICAL_ PROPOSAL.pdf	Supplementary Document	Uploaded 2009-04-15	Available
Media Questionnaire final 04-14-09.doc	Supplementary Document	Uploaded 2009-04-15	Available
OMB Submission Post OMB Conf Call Final 04-14-2009_B.doc	Supporting Statement B	Uploaded 2009-04-15	Available
OMB Submission Post OMB Conf Call Final 04-14-2009_A.doc	Supporting Statement A	Uploaded 2009-04-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187228	Demonstration of Speed Management Programs	Form and Instruction	New

ICR Details

OMB Control No: 2127-0656	ICR Reference No: 200811-2127-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Demonstration of Speed Management Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/17/2009
	Date Received in OIRA: 11/25/2008
Terms of Clearance: Going forward, DOT will assure confidentiality only if backed by statute. DOT will also share results of the pre-testing to OMB and will submit a change request if any minor non substantive changes have been made to the survey.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved
Responses	1,620	0	0
Time Burden (Hours)	405	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Highway Traffic Safety Administration proposes to conduct a series of telephone surveys that will examine the effectiveness of a speed management research and demonstration program in the city of Tucson, Arizona. As part of the program, surveys will be administered pre and post implementation of the countermeasure treatment program to measure awareness of the program in both Tuscon and an as yet to be selected comparison community/ies in the State of Arizona. The pretreatment telephone surveys would be administered during the fall–winter 2008/2009 time period and the post-treatment survey 24 months afterward.

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Authorizing Statute(s): US Code: 49 USC Chapter 301 Name of Law: Motor Vehicle Safety
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 6556	02/04/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 46360	08/08/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Demonstration of Speed Management Programs	NHTSA 1055	NHTSA Media Survey Questionnaire for Tucson, Arizona DSMPATE Project

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,620	0	0	1,620	0	0
Annual Time Burden (Hours)	405	0	0	405	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new NHTSA demonstration project that includes a new information collection. This requires a resulting program change of 267 hours and a program cost of $133,808.00 to NHTSA’s overall total.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/25/2008

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