Form NHTSA Form 1175 NHTSA Form 1175 Welcome Screen For Entry To Questionnaire

OMB No. 2127-XXXX

Expiration Date: XX/XX/201X

National Highway Traffic Safety Administration (NHTSA)

U.S. Department of Transportation

Survey of DWI Courts and Hybrid DWI/Drug Courts

NHTSA will be designing a program to evaluate DWI Courts, including Hybrid DWI/Drug Courts, to answer questions about their effectiveness: for whom do DWI Courts work best, what DWI Court components are effective, and how effective are they? This survey is a critical first step in that process as it will identify the program structures, operational characteristics, and populations currently served by DWI Court programs.

Your participation in this survey is extremely important. First, the results will provide the most detailed description of DWI programs to date. From this, NHTSA will furnish you with a comprehensive report on what the DWI Courts, as a whole, are doing. Second, the collected information will be used by NHTSA to determine the most germane program features to include in a comprehensive evaluation of DWI Courts. The evaluation findings will help DWI Courts determine how they can best apply their limited resources to achieve the most effective outcomes and maximize the returns on their efforts.

Thank you for participating in this survey. Dissemination of the results will only involve summary statistics that could not be used to identify individual Court responses. Should questions arise as you read through the form, please use the Help link that is provided on each page of the survey.

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Paperwork Reduction Act Burden Statement: Under the Paperwork Reduction Act, a federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-XXXX. The average amount of time to complete this survey is 40 minutes. All responses to this collection of information are voluntary. If you have comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, send them to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590