Information Collection

NHTSA 2009 Distracted Driving Survey Project-Texting

IC 208234 under ICR 201405-2127-004 · OMB 2127-0665.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1084 B NHTSA 2009 Distracted Driving Survey Project-Texting Form
NHTSA Form 1084 B Distracted Driving Intercept Survey Appendix C Distracted Driving Intercept Survey with Screener Final sent to McKenzie 2 26 2014.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NHTSA 2009 Distracted Driving Survey Project-Texting	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 B	Distracted Driving Intercept Survey	Appendix C Distracted Driving Intercept Survey with Screener Final sent to McKenzie 2 26 2014.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	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	12,000	12,000
Annual IC Time Burden (Hours)	1,000	1,000
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.