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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Impaired Driving Prevention	Agency IC Tracking Number:

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	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 %

	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

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.