Texting and Driving

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⚠️ Notice: This information collection may be referencing outdated material.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 2127-0682 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1584 Texting and Driving Form
NHTSA Form 1584 Texting and Driver Screener NHTSA_Texting Screener.docx Form
NHTSA Form 1585 Texing and Driving Ad Council_Texting while Driving Qnaire_W9 2020_for OMB rev.docx Form

Information Collection (IC) Details

IC Title:	Texting and Driving	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	NHTSA Form 1584	Texting and Driver Screener	NHTSA_Texting Screener.docx		Yes	Yes	Fillable Fileable
Form	NHTSA Form 1585	Texing and Driving	Ad Council_Texting while Driving Qnaire_W9 2020_for OMB rev.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,015	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	1,015	1,015
Annual IC Time Burden (Hours)	288	288
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.