NHTSA 2009 Distracted Driving Survey Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0665 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1084 NHTSA 2009 Distracted Driving Survey Project Form
NHTSA Form 1084 Distracted Driving Intercept Survey Appendix C Distracted Driving Intercept Survey Revised-3-13-2013 (3).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NHTSA 2009 Distracted Driving Survey Project	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 1084	Distracted Driving Intercept Survey	Appendix C Distracted Driving Intercept Survey Revised-3-13-2013 (3).docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	22,200	22,200
Annual IC Time Burden (Hours)	1,850	1,850
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.