Information Collection

Driver Alcohol Detection System for Safety (DADSS)

IC 194833 under ICR 201010-2127-001 · OMB 2127-0669.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0669 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 114 Driver Alcohol Detection System for Safety (DADSS) Form and Instruction
NHTSA Form 114 Moderator's Guide Moderator's Guide 8_04_10 (3) v1.docx Form and Instruction
NHTSA Form 1115 Screening Questions Screening Questions_8_06_10 v1.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Driver Alcohol Detection System for Safety (DADSS)	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 Form 114	Moderator's Guide	Moderator's Guide 8_04_10 (3) v1.docx		No		Paper Only
Form	NHTSA Form 1115	Screening Questions	Screening Questions_8_06_10 v1.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 192	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	192	192
Annual IC Time Burden (Hours)	288	288
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.