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Marijuana Impairment Concept Testing Research
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 254995
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 202204-2127-001
IC 254995
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1670
Marijuana Impairment Concept Testing Research
Form
NHTSA Form 1670 Marijuana Impairment Concept Testing Research - English
01 - Marijuana Impairment Concept Testing Research - English Screener 07.27.2022.docx
Form
NHTSA Form 1671 Marijuana Impairment Concept Testing Research - Spanish
02 - Marijuana Impairment Concept Testing Research - Spanish Screener 07.27.2022_Spanish.docx
Form
NHTSA Form 1672 Marijuana Impairment Concept Testing Research - Discussi
03 - Marijuana Impairment Concept Testing Research - Discussion Guide 07.27.2022 (1).docx
Form
NHTSA Form 1673 Marijuana Impairment Concept Testing Research - Discussi
03 - Marijuana Impairment Concept Testing Research - Discussion Guide 07.27.2022_Spanish.docx
Form
04 - Marijuana Impairment Concept Testing Research - Generic Clearance Submission 07.27.2022.docx
Generic Clearance Request
IC Document
DrugDriving_English Concepts_approved_7.27.2022.pptx
Drug Driving Concepts - English
IC Document
DrugDriving_Spanish Concepts_approved_7.27.2022.pptx
Drug Driving Concepts - Spanish
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Marijuana Impairment Concept Testing Research
Agency IC Tracking Number:
ICR Ready for OST Review
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
NHTSA Form 1670
Marijuana Impairment Concept Testing Research - English Screener
01 - Marijuana Impairment Concept Testing Research - English Screener 07.27.2022.docx
Yes
Yes
Fillable Fileable
Form
NHTSA Form 1671
Marijuana Impairment Concept Testing Research - Spanish Screener
02 - Marijuana Impairment Concept Testing Research - Spanish Screener 07.27.2022_Spanish.docx
Yes
Yes
Fillable Fileable
Form
NHTSA Form 1672
Marijuana Impairment Concept Testing Research - Discussion Guide
03 - Marijuana Impairment Concept Testing Research - Discussion Guide 07.27.2022 (1).docx
Yes
Yes
Fillable Fileable
Form
NHTSA Form 1673
Marijuana Impairment Concept Testing Research - Discussion Guide Spanish
03 - Marijuana Impairment Concept Testing Research - Discussion Guide 07.27.2022_Spanish.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,125
0
1,125
0
0
0
Annual IC Time Burden (Hours)
159
0
159
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Clearance Request
04 - Marijuana Impairment Concept Testing Research - Generic Clearance Submission 07.27.2022.docx
08/02/2022
Drug Driving Concepts - English
DrugDriving_English Concepts_approved_7.27.2022.pptx
08/02/2022
Drug Driving Concepts - Spanish
DrugDriving_Spanish Concepts_approved_7.27.2022.pptx
08/02/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.