OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Screen shots of Drugged Driving Survey (DDS)

IC 216240 under ICR 201504-0925-006 · OMB 0925-0724.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Screen shots of Drugged Driving Survey (DDS)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Screen Shot Survey $0 Incentive Drugged Driving - Attachment B - Screen Shot Survey $0 Incentive.pdf Yes Yes Fillable Fileable
Form and Instruction 2 Screen Shot Survey $10 Incentive Drugged Driving - Attachment C - Screen Shot Survey $10 Incentive.pdf Yes Yes Fillable Fileable
Form and Instruction 3 Screen Shot Survey $20 Incentive Drugged Driving - Attachment D - Screen Shot Survey - $20 Incentive.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

3,750 0
   
Individuals or Households
 
   100 %

  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 3,750 0 3,750 0 0 0
Annual IC Time Burden (Hours) 750 0 750 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.