Information Collection

Drunk Driver Segmentation Research Plan

IC 220072 under ICR 201602-2127-003 · OMB 2127-0720.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1323 Drunk Driver Segmentation Research Plan Form
NHTSA Form 1323 Recruitment Screener 2016_NHTSA Alcohol Screener_Questionnaire.docx Form
NHTSA Form 1324 NHTSA: Drunk Driver/Rider Research Survey 2016_NHTSA Alcohol SURVEY.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Drunk Driver Segmentation Research Plan	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 1323	Recruitment Screener	2016_NHTSA Alcohol Screener_Questionnaire.docx		No		Fillable Fileable
Form	NHTSA Form 1324	NHTSA: Drunk Driver/Rider Research Survey	2016_NHTSA Alcohol SURVEY.docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22,000	22,000
Annual IC Time Burden (Hours)	5,868	5,868
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.