Fast Track Request

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2127-0682)

TITLE OF INFORMATION COLLECTION:

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

PURPOSE:

The National Highway Traffic Safety Administration (NHTSA) was authorized by the Highway Safety Act of 1966 to carry out a Congressional mandate to reduce the mounting number of deaths, injuries and economic losses resulting from motor vehicle crashes on our Nation’s highways. In support of this mission, NHTSA is launching a public service campaign designed to deter drug-impaired driving. The campaign’s target audience is young males 18-34. Campaign materials will be placed in donated media. NHTSA is seeking approval of an information collection to better understand awareness, attitudes and behaviors of the target audience pertaining to drug-impaired driving and our communications efforts.

The results from this survey will in no way be used to make significant policy or resource allocation decisions.

DESCRIPTION OF RESPONDENTS:

The respondents for this survey will be the target audience for the public service campaign: U.S. men aged 18-34. We will survey 1,000 respondents. Screening criteria will require that all respondents have consumed marijuana (recreational) in the past three months and drive regularly. The campaign will be distributed nationwide, so all respondents participating in the survey have the potential to be exposed to the public service advertising.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [X] Other: Online Survey – Campaign Effectiveness

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name: Susan McMeen

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [X] Yes [ ] No

The third party vendor collects the full name and street address of panelists when they register for the panel so that they can verify their identity through third party address matches and other means. No PII is reported to NHTSA. No responses will be connected to individual respondents; only aggregate data will be reported.

2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [X] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [X] No

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [X ] Yes [ ] No

The third-party vendor uses a panel that operates on a points-based incentive and rewards system. Accrued points can be redeemed for modest incentives that include online gift cards, merchandise, and PayPal cash deposits. It is standard practice to provide a basic incentive in order to avoid bias of receiving responses only from individuals generally predisposed to be helpful.

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time	Burden
Individuals or Households (Survey Respondents: Men 18-34)	1000	10 minutes	167 hours

FEDERAL COST: The estimated annual cost to the Federal government is $32,500.

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents

1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ X] Yes [ ] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

Data collection will take place using two sample sources, an even mix from Critical Mix and Ipsos. These respondents are recruited through an online panel that they have opted to join. These panels have age and gender pre-profiled and we will target males who are ages 18-34. These respondents will receive an email invitation with a link to the survey.

Recruitment quotas will include age, race/ethnicity, annual household income, and region. In addition, sample will reflect variety in geographic density (e.g. urban, suburban, rural).

In order to achieve 1,000 completed interviews and based on the expected incidence of 10%, the vendor estimates that there will be between 70,000 – 85,000 invitations sent. We expect half of these will be sent from Critical Mix, the other half from Ipsos – to ensure we have an even mix from both panels.  

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [ ] Yes [X] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

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