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Driver Alcohol Detection System for Safety (DADSS)
Driver Alcohol Detection System for Safety (DADSS)
OMB: 2127-0669
IC ID: 194833
OMB.report
DOT/NHTSA
OMB 2127-0669
ICR 201204-2127-005
IC 194833
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0669 can be found here:
2013-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1114
Driver Alcohol Detection System for Safety (DADSS)
Form and Instruction
NHTSA Form 1114 Moderator's Guide
Moderator's_Guide_8_04_10_(3)_v1[1].docx
Form and Instruction
NHTSA Form 1115 Screening Questions
Screening_Questions_8_06_10_v1[1].docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Driver Alcohol Detection System for Safety (DADSS)
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NHTSA Form 1114
Moderator's Guide
Moderator's_Guide_8_04_10_(3)_v1[1].docx
No
Paper Only
Form
NHTSA Form 1115
Screening Questions
Screening_Questions_8_06_10_v1[1].docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
192
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
192
0
0
0
0
192
Annual IC Time Burden (Hours)
288
0
0
0
0
288
Annual IC Cost Burden (Dollars)
0
0
0
0
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.