Drug Impaired Research

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0573 can be found here:

Documents and Forms

Document Name Document Type
Form 1472 Drug Impaired Research Form
Drug Impaired Driving Discussion Guide_Revised_6.25.18_for NHTSA Review..._.docx Instruction
1472 Screener Guide Drug Impaired Driving Screener_Revised 6.22.18_for NHTSA Review (003).docx Form
Drug Impaired Driving Discussion Guide_Revised_6.25.18_for NHTSA Review..._.docx Discussion Guide IC Document
Drug Impaired Driving Screener_Revised 6.22.18_for NHTSA Review (003).docx Screener Questions IC Document
NHTSA Drug Impaired Research Generic Clearance Revised 7.11.18.docx Generic Clearance Request IC Document

Information Collection (IC) Details

IC Title:	Drug Impaired Research	Agency IC Tracking Number:

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	1472	Screener Guide	Drug Impaired Driving Screener_Revised 6.22.18_for NHTSA Review (003).docx		No		Paper Only
Instruction			Drug Impaired Driving Discussion Guide_Revised_6.25.18_for NHTSA Review..._.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 346	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	346	346
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Discussion Guide	Drug Impaired Driving Discussion Guide_Revised_6.25.18_for NHTSA Review..._.docx	08/01/2018
Screener Questions	Drug Impaired Driving Screener_Revised 6.22.18_for NHTSA Review (003).docx	08/01/2018
Generic Clearance Request	NHTSA Drug Impaired Research Generic Clearance Revised 7.11.18.docx	08/01/2018

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