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NHTSA 2009 Distracted Driving Survey Project
NHTSA 2009 Distracted Driving Survey Project
OMB: 2127-0665
IC ID: 191324
OMB.report
DOT/NHTSA
OMB 2127-0665
ICR 201405-2127-004
IC 191324
( )
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
22,200
0
0
0
0
22,200
Annual IC Time Burden (Hours)
1,850
0
0
0
0
1,850
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
