Driver Alcohol Detection System for Safety (DADSS)

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

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	Previously Approved
Annual Number of Responses for this IC	192	192
Annual IC Time Burden (Hours)	288	288
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.