Information Collection

Marijuana Impairment Exploratory Research Online Focus Groups

IC 252987 under ICR 201906-2105-001 · OMB 2105-0573.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0573 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1650 Marijuana Impairment Exploratory Reseach - English Screener MARIJUANA IMPAIRMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form
Form NHTSA Form 1652 Marijuana Impairment Exploratory Research - Discussion Guide MARIJUANA IMPAIRMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form and Instruction
Form NHTSA Form 1651 Marijuana Impairment Exploratory Research - Spanish Screener MARIJUANA IMPAIRMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form
Form NHTSA Form 1653 Marijuana Impairment Exploratory Research - Spanish Discussion Guide MARIJUANA IMPAIRMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form and Instruction
NHTSA Form 1650 Marijuana Impairment Exploratory Reseach - English Scree 01 - Marijuana Impairment Exploratory Research - English Screener_04 19 2022.docx	Form
NHTSA Form 1652 Marijuana Impairment Exploratory Research - Discussion G 03 - Marijuana Impairment Exploratory Research - Discussion Guide_04 19 2022.docx	Form and Instruction
NHTSA Form 1651 Marijuana Impairment Exploratory Research - Spanish Scre SPA 02 - Marijuana Impairment Exploratory Research - Spanish Screener_04 19 2022.docx	Form
NHTSA Form 1653 Marijuana Impairment Exploratory Research - Spanish Disc SPA 03 - Marijuana Impairment Exploratory Research - Discussion Guide_04 19 2022.docx	Form and Instruction
04 - Marijuana Impairment Exploratory Research - Generic Clearance Submission_02.15.22.docx Generic Clearance Request	IC Document

IC Title:

MARIJUANA IMPAIRMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1650	Yes	Yes	Fillable Printable
Form and Instruction	NHTSA Form 1652	Yes	Yes	Fillable Fileable
Form	NHTSA Form 1651	Yes	Yes	Fillable Fileable
Form and Instruction	NHTSA Form 1653	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,125

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	1,125	1,125
Annual IC Time Burden (Hours)	159	159
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request		04/21/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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