Information Collection

2014 National Survey of Distracted Driving Attitudes and Behavior

IC 211530 under ICR 201405-2127-004 · OMB 2127-0665.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form Number 2014 National Survey of Distracted Driving Attitudes and Behavior	Form
NHTSA Form Number Distracted Driving Survey Form Appendix C - Survey.docx	Form
Appendix A - Authority.docx Authority	IC Document
Appendix B-1 - 60 Day FR Notice.pdf 60-Day Federal Register Notice	IC Document
Appendix B-2 - 30 Day FR Notice.pdf 30-Day Federal Register Notice	IC Document
Appendix D - Item Justification.docx Item Justification	IC Document

IC Title:

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form Number 1082	Distracted Driving Survey Form	Appendix C - Survey.docx	N/A	No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,460

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,460	12,460
Annual IC Time Burden (Hours)	4,087	4,087
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authority	Appendix A - Authority.docx	05/06/2014
60-Day Federal Register Notice	Appendix B-1 - 60 Day FR Notice.pdf	05/06/2014
30-Day Federal Register Notice	Appendix B-2 - 30 Day FR Notice.pdf	05/06/2014
Item Justification	Appendix D - Item Justification.docx	05/06/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.