Information Collection

Driver Alcohol Detection System for Safety (DADSS)

IC 194833 under ICR 201302-2127-003 · OMB 2127-0669.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1114 Driver Alcohol Detection System for Safety (DADSS)	Form and Instruction
NHTSA Form 1114 Moderator's Guide Moderator's_Guide_8_04_10_(3)_v1[1].docx	Form and Instruction
NHTSA Form 1115 Screening Questions Screening_Questions_8_06_10_v1[1].docx	Form

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1114	Moderator's Guide	Moderator's_Guide_8_04_10_(3)_v1[1].docx		No		Paper Only
Form	NHTSA Form 1115	Screening Questions	Screening_Questions_8_06_10_v1[1].docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 192

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	192	192
Annual IC Time Burden (Hours)	288	288
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.