Information Collection

Matching Countermeasures to Driver Types and Speeding Behavior

IC 208634 under ICR 201309-2127-002 · OMB 2127-0699.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA 1198 Matching Countermeasures to Driver Types and Speeding Behavior	Form and Instruction
Appendix F - Advance Letter - English.docx	Instruction
Appendix G - Advance Letter - Spanish.docx	Instruction
Appendix H - Survey Packet Cover Letter - English.docx	Instruction
Appendix I - Survey Packet Cover Letter -Spanish.docx	Instruction
Appendix J -Reminder Post Card - English.docx	Instruction
Appendix K -Reminder Post Card - Spanish.docx	Instruction
NHTSA 1198 The Idaho Driving Safety Survey Appendix C - Questionnaire - English.docx	Form and Instruction
NHTSA 1198 The Idaho Driving Safety Survey - Spanish version Appendix D - Questionnaire - Spanish .docx	Form and Instruction
NHTSA 1198 Consent Form - English (also attached as part of questio Appendix A - Consent Form - English.docx	Form and Instruction
NHTSA 1198 Consent Form - Spanish (also attached as part of questio Appendix B - Consent Form - Spanish.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

NHTSA-2013-0051

Is this a Common Form? No

IC Status: New

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?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA 1198	The Idaho Driving Safety Survey	Appendix C - Questionnaire - English.docx	Yes	Yes	Fillable Printable
Form and Instruction	NHTSA 1198	The Idaho Driving Safety Survey - Spanish version	Appendix D - Questionnaire - Spanish .docx	Yes	Yes	Fillable Printable
Form and Instruction	NHTSA 1198	Consent Form - English (also attached as part of questionnaire)	Appendix A - Consent Form - English.docx	Yes	Yes	Fillable Printable
Form and Instruction	NHTSA 1198	Consent Form - Spanish (also attached as part of questionnaire)	Appendix B - Consent Form - Spanish.docx	Yes	Yes	Fillable Printable
Instruction			Appendix F - Advance Letter - English.docx	No		Paper Only
Instruction			Appendix G - Advance Letter - Spanish.docx	No		Paper Only
Instruction			Appendix H - Survey Packet Cover Letter - English.docx	No		Paper Only
Instruction			Appendix I - Survey Packet Cover Letter -Spanish.docx	No		Paper Only
Instruction			Appendix J -Reminder Post Card - English.docx	No		Paper Only
Instruction			Appendix K -Reminder Post Card - Spanish.docx	No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,974

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,974	1,974
Annual IC Time Burden (Hours)	823	823
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.