Seven Day Trip Log

Hazard Perception and Distracted Driving Training Intervention for Teens

Documents and Forms

Document Name Document Type
Form 1470 Seven Day Trip Log Form and Instruction
1470 Seven Day Trip Log Form1470_RAPTevaluation-Seven-dayTripLog-2.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Seven Day Trip Log	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 and Instruction	1470	Seven Day Trip Log	Form1470_RAPTevaluation-Seven-dayTripLog-2.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	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	2,000	2,000
Annual IC Time Burden (Hours)	1,167	1,167
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.