Six-Month Follow-Up

Hazard Perception and Distracted Driving Training Intervention for Teens

Documents and Forms

Document Name Document Type
Form 1458 Six-Month Follow-Up Form and Instruction
1458 Six Month Follow Up Contact Form1458_RAPTevaluation-SixMonthFollowUpTeenContact-3.docx Form and Instruction
1459 Six Month Follow Up Collection Form1459_RAPTevaluation-SixMonthFollowUpDataCollection-3.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Six-Month Follow-Up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	1458	Six Month Follow Up Contact	Form1458_RAPTevaluation-SixMonthFollowUpTeenContact-3.docx		No		Paper Only
Form and Instruction	1459	Six Month Follow Up Collection	Form1459_RAPTevaluation-SixMonthFollowUpDataCollection-3.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,500	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	7,500	7,500
Annual IC Time Burden (Hours)	1,875	1,875
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.