OMB
.report
Search
Evaluation Surveys for Impaired Driving and Safety Belt Interventions
Evaluation Surveys for Impaired Driving and Safety Belt Interventions
OMB: 2127-0646
IC ID: 26355
OMB.report
DOT/NHTSA
OMB 2127-0646
ICR 200603-2127-002
IC 26355
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0646 can be found here:
2011-05-02 - Revision of a currently approved collection
2010-06-21 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Evaluation Surveys for Impaired Driving and Safety Belt Interventions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
NHTSA1012
No
No
Form
NHTSA1010
No
No
Form
NHTSA1011
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
24,000
0
24,000
0
0
0
Annual IC Time Burden (Hours)
4,000
0
4,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.