Information Collection Request

Young Driver Survey

ICR 201403-2127-005 · OMB 2127-0704 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1199 Young Driver Instrument Usability Tests Form and Instruction New Available
Form NHTSA Form 1199 Young Driver Survey Pilot Test Form and Instruction New Available
Form NHTSA Form 1199 Young Driver Survey Form and Instruction New Available
Section B FINAL(2) FINAL.doc Supporting Statement B Uploaded 2014-10-27 Available
Section A FINAL(3) FINAL.doc Supporting Statement A Uploaded 2014-10-27 Available
Attachment 6 - SATQ and debriefing_example_2014-1-27.docx Supplementary Document Uploaded 2014-04-02 Available
Attachment 5 - Version B Question-By-Question Justification.docx Supplementary Document Uploaded 2014-04-02 Available
Attachment 4 - Version A Question-By-Question Justification.docx Supplementary Document Uploaded 2014-04-02 Available
Attachment 3 - Notice 2 Federal Register.pdf Supplementary Document Uploaded 2014-04-02 Available
Attachment 2 - Notice 1 Federal Register.pdf Supplementary Document Uploaded 2014-04-01 Available
Attachment 1 - Legal Authority.pdf Supplementary Document Uploaded 2014-04-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
211062 Young Driver Instrument Usability Tests Form and Instruction New
211061 Young Driver Survey Pilot Test Form and Instruction New
211033 Young Driver Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved
67,177 0 0
16,842 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Young Driver Survey Pilot Test NHTSA Form 1199(b), NHTSA Form 1199, NHTSA Form 1199(a) Welcome Screen ,   Questionnaire Version A ,   Questionnaire Version B
Young Driver Instrument Usability Tests NHTSA Form 1199, NHTSA Form 1199(a), NHTSA Form 1199(b) Welcome Screen ,   Questionnaire Version A ,   Questionnaire Version B
Young Driver Survey NHTSA Form 1199, NHTSA Form 1199(a), NHTSA Form 1199(b) Welcome Screen ,   Questionnaire Version A ,   Questionnaire Version B

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 67,177 0 0 67,177 0 0
Annual Time Burden (Hours) 16,842 0 0 16,842 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No