Evaluation Surveys for Impaired Driving and Safety Belt Interventions

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
26355	Evaluation Surveys for Impaired Driving and Safety Belt Interventions Form	Migrated

ICR Details

OMB Control No: 2127-0646	ICR Reference No: 200603-2127-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Evaluation Surveys for Impaired Driving and Safety Belt Interventions
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/01/2006
	Date Received in OIRA: 03/31/2006
Terms of Clearance: 1. This ICR revises information that has been collected in 2127-0627 (on alcohol-impaired driving) and in 2127-0615 (on seat belt use). It also adds other collections. 2. Because of the clearance conditions below, approval is for two years. 3. Since households with only a cell phone cannot be sampled with the current design, DOT shall continue to assess potential solutions to this problem. The next extension or revision of this collection shall report on progress. 4. DOT has agreed to continue to examine potential non-response bias and to report its findings to OMB. They have also agreed th at reports of survey results shall note both sampling and non- sampling error. 5. Because of the sensitive nature of asking survey respondents about driving after having too much to drink, DOT is strongly en- couraged to explore the use of innovative techniques to ask such sensitive questions, such as Telephone Computer-Assisted Self Interviews (T-CASI) and Interactive Voice Response (IVR). OMB will provide expedited review for tests of such innovative tech- niques. 6. The National Surveys are approved as specified. 7. The State Surveys are given GENERIC CLEARANCE, which requires approval of specific instances of these types of surveys. Each survey instance shall, for approval, be specified to include: (1) the exact questionnaire to be used; (2) designated survey popula- tion and sampling design; (3) whether or not the sample will be s tratified and, if so, how; (4) specific sample sizes; (5) the scheduling of each survey instance; (6)the goals of each survey instance; and (7) how the data will be analyzed. OMB will re- view the complete specification of each survey instance within 15 business days. 8. The Regional Demonstrations (also referred to as Demonstratio n Surveys) are also given GENERIC CLEARANCE, under the same de- tailed terms of item 7 above.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2008	06/30/2008
Responses	24,000	0	0
Time Burden (Hours)	4,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: These are pre/post telephone surveys to evaluate safety belt mobilizations, impaired driving mobilizations, and belt/alcohol demonstration projects. National, State, and local samples will be used.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Evaluation Surveys for Impaired Driving and Safety Belt Interventions	NHTSA1010, NHTSA1011, NHTSA1012

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ICR Summary 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	24,000	0	0	24,000	0	0
Annual Time Burden (Hours)	4,000	0	0	4,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/31/2006

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