Information Collection

Awareness Campaign to Reduce Distracted Driving

IC 254385 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⚠️ Notice: This information collection may be referencing outdated material.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 1666 Awareness Campaign to Reduce Distracted Driving - Screener Awareness Campaign to Reduce Distracted Driving	Form
Form NHTSA Form 1336 Awareness Campaign to Reduce Distracted Driving - Moderators Guide Awareness Campaign to Reduce Distracted Driving	Form
NHTSA Form 1666 Awareness Campaign to Reduce Distracted Driving - Screen corrected recruitment screener_6232022.docx	Form
NHTSA Form 1336 Awareness Campaign to Reduce Distracted Driving - Modera corrected moderator guide.docx	Form
corrected Distracted Driving Generic Clearance_062022.docx Generic Clearence Request	IC Document

IC Title:

Awareness Campaign to Reduce Distracted Driving

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1666				Yes	Yes	Fillable Fileable
Form	NHTSA Form 1336				Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearence Request		06/24/2022

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

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