Psychological Constructs Related to Seat Belt Use

Forms and Documents

Document Name	Status
Form 1366 Psychological Constructs Related to Seat Belt Use Complete Survey Form and Instruction	New
Form 1365 Psychological Constructs Related to Seat Belt Use Survey Screener Form and Instruction	New
PCRSBU Appendix C Privacy Statement.docx Supplementary Document	2018-02-16
PCRSBU Appendix B Question Justification.docx Supplementary Document	2018-02-16
PCRSBU PRA Section A 021618.docx Supporting Statement A	2018-02-16
PCRSBU App A Participant Email Invitation 060117.doc Supplementary Document	2017-08-10
PCRSBU PRA Section B 060117.docx Supporting Statement B	2017-08-10

IC Document Collections

IC ID	Document Title	Status
227885	Psychological Constructs Related to Seat Belt Use Complete Survey Form and Instruction	New
227882	Psychological Constructs Related to Seat Belt Use Survey Screener Form and Instruction	New

ICR Details

OMB Control No: 2127-0729	ICR Reference No: 201708-2127-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Psychological Constructs Related to Seat Belt Use
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/20/2018
	Date Received in OIRA: 08/30/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	16,197	0	0
Time Burden (Hours)	2,070	0	0
Cost Burden (Dollars)	53,285	0	0

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Abstract: Seat belts significantly reduce the risk of death in motor vehicle crashes across all crash types —yet, not everyone uses a seat belt on every trip. According to the latest National Occupant Protection Use Survey, observed seat belt use in the United States was an estimated 90% in 2016. However, among people killed in motor vehicle crashes in 2015, only 48% were wearing a seat belt. Thus, there is still room to save lives by getting more people to wear seat belts. To develop programs with potential to reach those who do not wear seat belts, we need to know as much as we can about this group. Currently, we know a lot about the demographic correlates of seat belt use, but we do not know much about other individual-level contributors to non-use. The purpose of this research is to identify psychological constructs and psychosocial factors associated with the non-use and part-time use of seat belts. This will be accomplished through a probability-based, online survey that will measure self-reported seat belt use, psychosocial factors such as social norms, and psychological constructs such as impulsivity, risk aversion, and optimism. This research will inform development of countermeasures tailored to more effectively encourage seat belt use among this group.

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Authorizing Statute(s): US Code: 23 USC 403 Name of Law: Highway Safety Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 18826	04/21/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 37590	08/10/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Psychological Constructs Related to Seat Belt Use Survey Screener	1365	Survey Screener
Psychological Constructs Related to Seat Belt Use Complete Survey	1366	Complete Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	16,197	0	0	16,197	0	0
Annual Time Burden (Hours)	2,070	0	0	2,070	0	0
Annual Cost Burden (Dollars)	53,285	0	0	53,285	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This study includes an probability-based, online survey that will result in a program change of adding 2,070 hours of NHTSA overall burden hours.

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Annual Cost to Federal Government: $66,693

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/30/2017

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