Impaired Driving Survey

Evaluation of Community-Oriented Enforcement Demonstrations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0725 can be found here:

Documents and Forms

Document Name Document Type
Form 1322 Impaired Driving Survey Form and Instruction
1322 Impaired Driving Survey Appendix B Impaired Driving Survey Form 1322 07012016.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Impaired Driving Survey	Agency IC Tracking Number:	1322

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 and Instruction	1322	Impaired Driving Survey	Appendix B Impaired Driving Survey Form 1322 07012016.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	9,288	9,288

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.