Information Collection Request

Hazard Perception and Distracted Driving Training Intervention for Teens

ICR 201811-2127-006 · OMB 2127-0740 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1470 Seven Day Trip Log Form and Instruction New Available
Form 1459 Six Month Follow Up Collection Form and Instruction New Available
Form 1458 Six Month Follow Up Contact Form and Instruction New Available
Form 1457 Teen Data Collection Prior to Training Form and Instruction New Available
Form 1456 Teen Consent Form Form and Instruction New Available
Form 1455 Parent Consent Form Form and Instruction New Available
Form 1471 Reminder Postcard Form and Instruction New Available
Form 1454 Teen Recruitment Invitation Form and Instruction New Available
RAPT_ICR_PartA_for_OMB_071419.docx Supporting Statement A Uploaded 2019-07-17 Available
Justification for forms plus numbers.docx Supplementary Document Uploaded 2018-11-09 Available
RAPT_ICR_PartB_for_OMB.docx Supporting Statement B Uploaded 2018-11-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233986 Seven Day Trip Log Form and Instruction NewSeven Day Trip Log
233985 Six-Month Follow-Up Form and Instruction NewSix Month Follow Up Collection
233985 Six-Month Follow-Up Form and Instruction NewSix Month Follow Up Contact
233983 Consent and Training Form and Instruction NewTeen Data Collection Prior to Training
233983 Consent and Training Form and Instruction NewTeen Consent Form
233983 Consent and Training Form and Instruction NewParent Consent Form
233983 Consent and Training Form and Instruction NewReminder Postcard
233982 Recruitment Form and Instruction NewTeen Recruitment Invitation

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved
79,500 0 0
12,542 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Consent and Training 1471, 1455, 1456, 1457 ,   ,   ,  
Recruitment 1454
Seven Day Trip Log 1470
Six-Month Follow-Up 1459, 1458 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 79,500 0 0 79,500 0 0
Annual Time Burden (Hours) 12,542 0 0 12,542 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No