Information Collection

Focus Groups For Traffic And Motor Vehicle Safety Programs And Activities

IC 193071 under ICR 201012-2127-003 · OMB 2127-0667.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0667 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 1119 FOCUS GROUPS FOR TRAFFIC AND MOTOR VEHICLE SAFETY PROGRAMS AND ACTIVITIES	Form
NHTSA 1119 Moderators Guide Impaired driving combined moderators guideV2.doc	Form
NHTSA 1120 HVE Screener HVE screener for OMB review2.doc	Form

IC Title:

FOCUS GROUPS FOR TRAFFIC AND MOTOR VEHICLE SAFETY PROGRAMS AND ACTIVITIES

Agency IC Tracking Number:

IC Status: Modified

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	NHTSA 1119	Moderators Guide	Impaired driving combined moderators guideV2.doc		No		Paper Only
Form	NHTSA 1120	HVE Screener	HVE screener for OMB review2.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 168

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	Previously Approved
Annual Number of Responses for this IC	168	-1,713	1,881
Annual IC Time Burden (Hours)	112	-2,770	2,882
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.