Information Collection

Focus Groups For Traffic And Motor Vehicle Safety Programs And Activities

IC 197498 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⚠️ Notice: This information collection may be referencing outdated material.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:

2013-10-31 - Revision of a currently approved collection

Documents and Forms

Document Name Document Type
Form NHTSA Form 1132 FOCUS GROUPS FOR TRAFFIC AND MOTOR VEHICLE SAFETY PROGRAMS AND ACTIVITIES Form and Instruction
NHTSA Form 1132 Hispanic Spanish HVE Moderators Guide HISPANIC SPANISH HVE tagline moderators guide.doc Form and Instruction
NHTSA Form 1133 Hispanic English HVE tagline moderators guide HISPANIC ENGLISH HVE tagline moderators guide.doc Form and Instruction
NHTSA Form 1134 Hispanic Spanish HVE HISPANIC SPANISH HVE screener.doc Form
NHTSA Form 1135 Hispanic English HVE HISPANIC ENGLISH HVE screener.doc Form
NHTSA Form 1136 CPS Hispanic Exploratory Moderators Guide English CPS Hispanic Exploratory Moderators Guide in English 3 15 11.docx Form and Instruction
NHTSA Form 1137 CPS Hispanic Exploratory Moderators Guide Spanish CPS Hispanic Exploratory Moderators Guide Spanish 3 15 11.docx Form and Instruction
NHTSA Form 1138 CPS Hispanic Exploratory Recruitment Screener English CPS Hispanic Exploratory Recruitment Screener in English 3 15 11.docx Form
NHTSA Form 1139 CPS Hispanic Exploratory Recruitment Screener Spanish CPS Hispanic Exploratory Recruitment Screener Spanish 3 15 11.docx Form
NHTSA Form 1140 CM Omni Screener CM omni screener for OMB reviewFINAL.docx Form
NHTSA Form 1141 CM Omni Moderators Guide CM omni moderators guide for OMB reviewFINAL (2).docx Form and Instruction
NHTSA Form 1142 CPS GM Comm Checks Recruitment Screener CPS GM Comm Checks Recruitment Screener 4.22.11.docx Form
NHTSA Form 1143 CPS GM Comm Checks Moderators Screener CPS GM Comm Checks Moderators Guide 4.22.11.docx Form and Instruction
Hispanic HVE appendix A.docx HVE Supporting Statements IC Document
HVE FINAL designated driver boards 1 of 4.pdf HVE Final designated driver boards IC Document
HVE FINAL drive sober boards 2 of 4.pdf HVE Final drive sober boards IC Document
HVE FINAL no matter what you call it boards 3 of 4.pdf HVE Final no matter what you call it boards IC Document
FINAL the game boards 4 of 4.pdf HVE Final the game boards IC Document
CPS Hispanic Exploratory Supporting Statement in English 3 15 11.docx CPS Hispanic Exploratory Supporting Statements IC Document
CM focus groups omni supporting stmt OMBFINAL.docx CM Omni Supporting Statement IC Document
CPS GM Comm Checks Supporting Statement 4.22.11.doc CPS GM Comm Supporting Statements IC Document
CPS GM Comm Scripts for OMB.pdf CPS GM Comm Scripts IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FOCUS GROUPS FOR TRAFFIC AND MOTOR VEHICLE SAFETY PROGRAMS AND ACTIVITIES	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1132	Hispanic Spanish HVE Moderators Guide	HISPANIC SPANISH HVE tagline moderators guide.doc	No	Fillable Printable
Form and Instruction	NHTSA Form 1133	Hispanic English HVE tagline moderators guide	HISPANIC ENGLISH HVE tagline moderators guide.doc	No	Fillable Printable
Form	NHTSA Form 1134	Hispanic Spanish HVE	HISPANIC SPANISH HVE screener.doc	No	Fillable Printable
Form	NHTSA Form 1135	Hispanic English HVE	HISPANIC ENGLISH HVE screener.doc	No	Fillable Printable
Form and Instruction	NHTSA Form 1136	CPS Hispanic Exploratory Moderators Guide English	CPS Hispanic Exploratory Moderators Guide in English 3 15 11.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1137	CPS Hispanic Exploratory Moderators Guide Spanish	CPS Hispanic Exploratory Moderators Guide Spanish 3 15 11.docx	No	Fillable Printable
Form	NHTSA Form 1138	CPS Hispanic Exploratory Recruitment Screener English	CPS Hispanic Exploratory Recruitment Screener in English 3 15 11.docx	No	Fillable Printable
Form	NHTSA Form 1139	CPS Hispanic Exploratory Recruitment Screener Spanish	CPS Hispanic Exploratory Recruitment Screener Spanish 3 15 11.docx	No	Fillable Printable
Form	NHTSA Form 1140	CM Omni Screener	CM omni screener for OMB reviewFINAL.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1141	CM Omni Moderators Guide	CM omni moderators guide for OMB reviewFINAL (2).docx	No	Fillable Printable
Form	NHTSA Form 1142	CPS GM Comm Checks Recruitment Screener	CPS GM Comm Checks Recruitment Screener 4.22.11.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1143	CPS GM Comm Checks Moderators Screener	CPS GM Comm Checks Moderators Guide 4.22.11.docx	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 546	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	546	546
Annual IC Time Burden (Hours)	415	415
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HVE Supporting Statements	Hispanic HVE appendix A.docx	05/02/2011
HVE Final designated driver boards	HVE FINAL designated driver boards 1 of 4.pdf	05/02/2011
HVE Final drive sober boards	HVE FINAL drive sober boards 2 of 4.pdf	05/02/2011
HVE Final no matter what you call it boards	HVE FINAL no matter what you call it boards 3 of 4.pdf	05/02/2011
HVE Final the game boards	FINAL the game boards 4 of 4.pdf	05/02/2011
CPS Hispanic Exploratory Supporting Statements	CPS Hispanic Exploratory Supporting Statement in English 3 15 11.docx	05/02/2011
CM Omni Supporting Statement	CM focus groups omni supporting stmt OMBFINAL.docx	05/02/2011
CPS GM Comm Supporting Statements	CPS GM Comm Checks Supporting Statement 4.22.11.doc	05/02/2011
CPS GM Comm Scripts	CPS GM Comm Scripts for OMB.pdf	05/02/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.