Information Collection

State of the Practice of Ignition Interlock Programs Online Questionnaire

IC 233964 under ICR 201811-2127-005 · OMB 2127-0738.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form No. 145 State of the Practice of Ignition Interlock Programs Online Questionnaire	Form and Instruction
NHTSA Form No. 145 State of the Practice of Ignition Interlock Programs Onl NHTSA Form 1450 - OnlineQuestionnaire - Aug 28 2018.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA Form No. 1450	State of the Practice of Ignition Interlock Programs Online Questionnaire	NHTSA Form 1450 - OnlineQuestionnaire - Aug 28 2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	447	447

Documents for IC

table that charts IC Documents
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.