Information Collection Request

Driver Alcohol Detection System for Safety Field Operational Test (DADSS-FOT)

ICR 202203-2127-002 · OMB 2127-0734 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1649 Health Screener Form New Available
Form NHTSA Form 1649 Health Screening Only Form New Repair queued
Form NHTSA Form 1648 FOT Orientation Form and Instruction New Available
Form NHTSA Form 1648 Full Orientation Form and Instruction New Repair queued
Form NHTAS Form 1647 Eligibility Demographic Questionnaire Form New Available
Form NHTAS Form 1647 Eligibility/Demographic Interview Form New Repair queued
Form NHTSA Form 1419 Test-Day Questions Form Removed Available
Form NHTSA Form 1419 Test-day Questioins Form Removed Repair queued
Form NHTSA Form 1418 DADSS Recruitment Form Removed Available
Form NHTSA Form 1418 Recruitment Survey Form Removed Repair queued
PRA_DADSS_30day_pub_2022-05418.pdf Supplementary Document Uploaded 2022-03-15 Repair queued
PRA_DADSS_FOT_Part A Final (005).docx Supporting Statement A Uploaded 2022-03-16 Repair queued
PRA_DADSS_FOT_Part B_Final.docx Supporting Statement B Uploaded 2022-03-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
252023 Health Screening Only Form NewHealth Screener
252023 Health Screening Only Form New
252022 Full Orientation Form and Instruction NewFOT Orientation
252022 Full Orientation Form and Instruction New
252021 Eligibility/Demographic Interview Form NewEligibility Demographic Questionnaire
252021 Eligibility/Demographic Interview Form New
232360 Field Operational test Other-Vehicle Sensor Testing Explanation Modified
232359 Test-day Questioins Form RemovedTest-Day Questions
232359 Test-day Questioins Form Removed
232358 DADSS Orientation Other-Orientation on Test Vehicle Explanation Removed
232356 Recruitment Survey Form RemovedDADSS Recruitment
232356 Recruitment Survey Form Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2025 36 Months From Approved 09/30/2022
2,296 0 313,560
3,249 0 115,830
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
DADSS Orientation
Eligibility/Demographic Interview NHTAS Form 1647
Field Operational test
Full Orientation NHTSA Form 1648
Health Screening Only NHTSA Form 1649
Recruitment Survey NHTSA Form 1418
Test-day Questioins NHTSA Form 1419

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 2,296 313,560 0 291 -311,555 0
Annual Time Burden (Hours) 3,249 115,830 0 -4,407 -108,174 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No