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Test-day Questioins
Driver Alcohol Detection System for Safety Field Operational Test (DADSS-FOT)
OMB: 2127-0734
IC ID: 232359
OMB.report
DOT/NHTSA
OMB 2127-0734
ICR 201807-2127-002
IC 232359
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0734 can be found here:
2022-03-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1419
Test-day Questioins
Form
NHTSA Form 1419 Test-Day Questions
DADSS FOT Test Day Questions - FINAL_11-10-17.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Test-day Questioins
Agency IC Tracking Number:
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
NHTSA Form 1419
Test-Day Questions
DADSS FOT Test Day Questions - FINAL_11-10-17.docx
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
480
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
480
0
480
0
0
0
Annual IC Time Burden (Hours)
4,800
0
4,800
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.