Information Collection Request

Alcohol-Impaired Driving Segmentation Study

ICR 202309-2127-002 · OMB 2127-0766 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1710 Alcohol-Impaired Driving Segmentation Study Form and Instruction New Repair queued
NHTSA - Alcohol-Impaired Driving Segmentation Study - Questionnaire_FINAL.docx Supplementary Document Uploaded 2023-10-23 Repair queued
NHTSA - Alcohol-Impaired Driving Segmentation Study - Cognitive_FINAL.docx Supplementary Document Uploaded 2023-10-23 Repair queued
NHTSA - Alcohol-Impaired Driving Segmentation Study - SCREENER_FINAL.docx Supplementary Document Uploaded 2023-10-23 Available
NHTSA Alcohol-Impaired Driving Segmentation Study - Supporting Statements Part B_FINAL.docx Supporting Statement B Uploaded 2023-10-23 Missing upstream
NHTSA Alcohol-Impaired Driving Segmentation Study - Supporting Statements Part A_FINAL.docx Supporting Statement A Uploaded 2023-10-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262878 Alcohol-Impaired Driving Segmentation Study Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
5,400 0
3,845 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Alcohol-Impaired Driving Segmentation Study NHTSA Form 1710, NHTSA Form 1711 Alcohol-Impaired Driving Segmentation Study Screener ,   Alcohol-Impaired Driving Segmentation Study Questionnaire

table that charts list of burden
  Total Request 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 5,400 0 0 5,400 0 0
Annual Time Burden (Hours) 3,845 0 0 3,845 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No