Information Collection

National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors

IC 26317 under ICR 201103-2127-001 · OMB 2127-0613.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0613 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1127 National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors	Form
Attachment_E_-_Question-by-Question_Justification_revised.docx	Instruction
1127 Cognitive Testing Report Attachment F - Cognitive Testing Report .docx	Form
1124 Attachment C-Questionnaire-English Attachment C - Questionnaire - English version - revised .docx	Form
1125 Attachment D-Questionnaire-Spanish version Attachment D - Questionnaire - Spanish version - revised.docx	Form

IC Title:

National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Electronic Capability
Form	1127	Cognitive Testing Report	Attachment F - Cognitive Testing Report .docx	No	Fillable Printable
Form	1124	Attachment C-Questionnaire-English	Attachment C - Questionnaire - English version - revised .docx	No	Fillable Printable
Form	1125	Attachment D-Questionnaire-Spanish version	Attachment D - Questionnaire - Spanish version - revised.docx	No	Fillable Printable
Instruction			Attachment_E_-_Question-by-Question_Justification_revised.docx	No	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,030

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,030	6,030
Annual IC Time Burden (Hours)	2,010	2,010
Annual IC Cost Burden (Dollars)	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.