National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0613 can be found here:

Documents and Forms

Document Name Document Type
Form 1127 National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors Form
Attachment_E_-_Question-by-Question_Justification_revised.docx Instruction
1127 Cognitive Testing Report Attachment F - Cognitive Testing Report .docx Form
1124 Attachment C-Questionnaire-English Attachment C - Questionnaire - English version - revised .docx Form
1125 Attachment D-Questionnaire-Spanish version Attachment D - Questionnaire - Spanish version - revised.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Speeding, Driving While Distracted and other Unsafe Driving Behaviors	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	1127	Cognitive Testing Report	Attachment F - Cognitive Testing Report .docx	No	Fillable Printable
Form	1124	Attachment C-Questionnaire-English	Attachment C - Questionnaire - English version - revised .docx	No	Fillable Printable
Form	1125	Attachment D-Questionnaire-Spanish version	Attachment D - Questionnaire - Spanish version - revised.docx	No	Fillable Printable
Instruction			Attachment_E_-_Question-by-Question_Justification_revised.docx	No	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,030	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,030	6,030
Annual IC Time Burden (Hours)	2,010	2,010
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.