Information Collection

Impaired Driving Prevention

IC 198538 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 1151 Impaired Driving Prevention	Form
NHTSA Form 1152 Impaired Driving Prevention-Screener Impaired Driving Prevention Focus Group Recruitment Screener_071911_final.docx	Form
NHTSA Form 1151 Impaired Driving Prevention-Moderators Guide Impaired Driving Prevention Focus Group Discussion Guide Outline_071911_final.docx	Form
Impaired Driving Prevention Focus Groups Supporting Statement_071911_final.docx Impaired Driving Prevention Supporting Statements	IC Document

IC Title:

Impaired Driving Prevention

Agency IC Tracking Number:

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	NHTSA Form 1151	Impaired Driving Prevention-Moderators Guide	Impaired Driving Prevention Focus Group Discussion Guide Outline_071911_final.docx		No		Fillable Printable
Form	NHTSA Form 1152	Impaired Driving Prevention-Screener	Impaired Driving Prevention Focus Group Recruitment Screener_071911_final.docx		No		Fillable Printable

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
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	168	168
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Impaired Driving Prevention Supporting Statements	Impaired Driving Prevention Focus Groups Supporting Statement_071911_final.docx	07/19/2011

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