Information Collection Request

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

ICR 202503-2127-001 · OMB 2127-0734 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1649 Health Screener Form Unchanged Available
Form NHTSA Form 1648 FOT Orientation Form and Instruction Unchanged Available
Form NHTSA 1647 Eligibility Demographic Questionnaire Form Modified Available
Justification Memo for Non Substantive Changes.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-12 Available
PRA_DADSS_30day_pub_2022-05418.pdf Supplementary Document Uploaded 2022-03-15 Available
PRA_DADSS_FOT_Part A Final (005).docx Supporting Statement A Uploaded 2022-03-16 Available
PRA_DADSS_FOT_Part B_Final.docx Supporting Statement B Uploaded 2022-03-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
252023 Health Screening Only Form UnchangedHealth Screener
252022 Full Orientation Form and Instruction UnchangedFOT Orientation
252021 Eligibility/Demographic Interview Form ModifiedEligibility Demographic Questionnaire
232360 Field Operational test Other-Vehicle Sensor Testing Explanation Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2025 09/30/2025 09/30/2025
2,296 0 2,296
3,249 0 3,249
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Eligibility/Demographic Interview NHTSA 1647
Field Operational test
Full Orientation NHTSA Form 1648
Health Screening Only NHTSA Form 1649

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 2,296 0 0 0 0
Annual Time Burden (Hours) 3,249 3,249 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No