Crash Risk Associated with Drug and Alcohol Use by Drivers in Fatal and Serious Injury Crashes

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1422 Control Driver Questionnaire	Form and Instruction	New	Repair queued
Form 1421 Control Driver Verbal Consent	Form and Instruction	New	Available
Appendix A Justification for Form 1422 Control Driver Questionnaire.docx	Supplementary Document	Uploaded 2018-09-25	Available
x Hsieh 1989.pdf	Supplementary Document	Uploaded 2018-09-25	Available
x Dupont 1988 Power Paper.pdf	Supplementary Document	Uploaded 2018-09-25	Available
B Supporting Statement Sept 2018.docx	Supporting Statement B	Uploaded 2018-09-25	Available
A Supporting Statement Sept 2018.docx	Supporting Statement A	Uploaded 2018-09-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233188	Control Driver Questionnaire	Form and Instruction	New
233185	Control Driver Verbal Consent	Form and Instruction	New

ICR Details

OMB Control No: 2127-0744	ICR Reference No: 201809-2127-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Crash Risk Associated with Drug and Alcohol Use by Drivers in Fatal and Serious Injury Crashes
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: Improperly submitted	Conclusion Date: 10/24/2018
	Date Received in OIRA: 09/27/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Highway Traffic Safety Administration (NHTSA) is seeking approval to collect information from seriously injured drivers in crashes and matched non-crash involved drivers to examine the risk of being severely injured in a motor vehicle crash when drivers use licit and/or illicit drugs. For the current study, the three participating trauma centers will provide NHTSA with biological specimens and de-identified information (e.g., demographics, medications administered by Emergency Medical Technicians prior to arrival, crash location) from an estimated 2,350 injured drivers who are transported by emergency medical services to one of three trauma centers. The local medical examiners will provide similar de-identified biological specimens and information for an estimated 150 fatally injured drivers. Additionally, non-crash involved “control” drivers will be selected at or near the location of the crash where a study driver was seriously injured or killed. Researchers will match control drivers on crash day of the week, time of day, and direction of travel. The researchers will approach an estimated 9,000 drivers at roadside to describe the study, to ask their voluntary consent to provide a sample of their breath, a small sample of their blood, and to request completion of a voluntary survey. The survey will collect demographic information, trip information, and opinions about driving while using alcohol or drugs. NHTSA estimates that 5,000 of the 9,000 approached drivers will agree to participate by providing fluid samples and completing the survey. This collection is solely reporting, and there are no record-keeping costs to the respondents. NHTSA will use the information to produce a technical report that presents the results of the study. The technical report will provide aggregate (summary) statistics and tables as well as the results of statistical analysis of the information, but it will not include any personal information. The technical report will be shared with State Highway Safety Offices and other stakeholders interested in improving highway safety.

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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 32757	07/07/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12236	03/20/2018
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Control Driver Questionnaire	1422	Control Driver Questionnaire
Control Driver Verbal Consent	1421	Control Driver Verbal Consent

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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 is a new collection. This study includes informed consent and a short survey for drivers in the control group that will result in a program change of adding 1,800 hours of NHTSA overall burden hours.

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Annual Cost to Federal Government: $1,275,280

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: 09/27/2018

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