Survey of DWI Courts

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1175 Survey of DWI Courts	Form	New	Available
Attachment 4 - Questionnaire (2)_ABlock_09192013.docx	Supplementary Document	Uploaded 2013-10-17	Available
Attachment 5 - Question By Question Justification.docx	Supplementary Document	Uploaded 2013-04-30	Available
Attachment 4 - Questionnaire.docx	Supplementary Document	Uploaded 2013-04-30	Available
Welcome Screen For Entry To Questionnaire.docx	Supplementary Document	Uploaded 2013-04-30	Available
Attachment 3 - 30 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2013-04-30	Available
Attachment 2 - 60 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2013-04-30	Available
Attachment 1 - Statutory Authority.pdf	Supplementary Document	Uploaded 2013-04-30	Available
Section B.doc	Supporting Statement B	Uploaded 2013-04-30	Available
Section A.doc	Supporting Statement A	Uploaded 2013-04-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206728	Survey of DWI Courts	Form	New

ICR Details

OMB Control No: 2127-0694	ICR Reference No: 201304-2127-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Survey of DWI Courts
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/25/2013
	Date Received in OIRA: 05/07/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2016	36 Months From Approved
Responses	650	0	0
Time Burden (Hours)	433	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: DWI (Driving While Impaired) Courts are a relatively new intervention approach to combat alcohol-impaired driving and are authorized under MAP-21. These Courts are directed at repeat offenders and offenders having high BACs (blood alcohol concentrations) at time of arrest. They attack the source of the problem by taking a comprehensive approach to changing behavior that includes treatment. However, questions have not been adequately answered regarding the extent to which they are effective, and how they achieve effectiveness. NHTSA seeks approval to conduct a survey of DWI Courts to obtain information on DWI Court program activities and operations. NHTSA will use this information to design a program to evaluate the effectiveness of DWI Courts.

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Authorizing Statute(s): US Code: 23 USC Section 403 Name of Law: Highway Safety Research and Development
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 157	08/14/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 77	04/22/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Survey of DWI Courts	NHTSA Form 1175, NHTSA Form 1175	Welcome Screen For Entry To Questionnaire ,   DWI Court Survey Questionnaire

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	650	0	0	650	0	0
Annual Time Burden (Hours)	433	0	0	433	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden is the result of the need to collect detailed information on the structure and operation of DWI Court programs. This is the first step in NHTSA developing a comprehensive evaluation program for DWI Courts. The results of the evaluation program will provide guidance to practioners in the field on best practices in operating DWI Courts, and how resources can best be applied.

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Annual Cost to Federal Government: $150,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/07/2013

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