OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Alcohol-Impaired Driving Segmentation Study

IC 262878 under ICR 202309-2127-002 · OMB 2127-0766.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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IC Document
Information Collection (IC) Details

View Information Collection (IC)

Alcohol-Impaired Driving Segmentation Study
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NHTSA Form 1710 Alcohol-Impaired Driving Segmentation Study Screener NHTSA - Alcohol-Impaired Driving Segmentation Study - SCREENER_FINAL.docx Yes Yes Printable Only
Instruction NHTSA - Alcohol-Impaired Driving Segmentation Study - Cognitive_FINAL.docx Yes Yes Printable Only
Form and Instruction NHTSA Form 1711 Alcohol-Impaired Driving Segmentation Study Questionnaire NHTSA - Alcohol-Impaired Driving Segmentation Study - Questionnaire_FINAL.docx Yes Yes Printable Only
Form and Instruction NHTSA Form 1710 Alcohol Segmentation Study Screener_FINAL 01 30 2024 NHTSA - Alcohol-Impaired Driving Segmentation Study - SCREENER_FINAL _01 30 2024.docx Yes Yes Printable Only
Form and Instruction NHTSA Form 1710 Alcohol-Impaired Driving Segmentation Study Cognitive Testing Guide_FINAL 01 30 2024 NHTSA - Alcohol-Impaired Driving Segmentation Study - Cognitive Testing GUIDE_FINAL 01 30 2024.docx Yes Yes Printable Only
Form and Instruction NHTSA Form 1711 Alcohol-Impaired Driving Segmentation Study Questionnaire FINAL 01 30 2024 NHTSA - Alcohol-Impaired Driving Segmentation Study - Questionnaire_FINAL _ 01 30 2024.docx Yes Yes Printable Only

Transportation Ground Transportation

 

5,400 0
   
Individuals or Households
 
   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 5,400 0 5,400 0 0 0
Annual IC Time Burden (Hours) 3,845 0 3,845 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Alcohol-Impaired Driving Segmentation Study Supporting Statement Part A NHTSA Alcohol-Impaired Driving Segmentation Study - Supporting Statements Part A_FINAL.docx 10/19/2023
Alcohol-Impaired Driving Segmentation Study Supporting Statement Part B NHTSA Alcohol-Impaired Driving Segmentation Study - Supporting Statements Part B_FINAL.docx 10/19/2023
Alcohol-Impaired Driving Segmentation Study Federal Register 60-Day Notice Alcohol-Impaired Driving Segmentation Study 60-Day Notice Post.pdf 10/19/2023
Alcohol-Impaired Driving Segmentation Study 60-Day Public Comment 1 NHTSA-2022-0077-0002_attachment_1.pdf 10/19/2023
Alcohol-Impaired Driving Segmentation Study 60-Day Public Comment 2 NHTSA-2022-0077-0003_attachment_1.pdf 10/19/2023
PART A - NHTSA Alcohol-Impaired Driving Segmentation Study FINAL 01 03 2024 Part A - NHTSA Alcohol Impaired Driving Segmentation Study _ FINAL 01 30 2024.docx 01/30/2024
Part B - NHTSA Alcohol-Impaired Driving Segmentation Study FINAL 01 30 2024 Part B - NHTSA Alcohol Impaired Driving Segmentation Study _ FINAL 01 30 2024.docx 01/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.