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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2020 Distracted Driving Campaign Focus Groups
Agency IC Tracking Number:
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
NHTSA Form 1515
Distracted Driving Screener 08052019 GENERAL MARKET
Distracted Driving Screener 08052019 GENERAL MARKET.docx
No
Paper Only
Form
NHTSA Form 1516
Distracted Driving Screener 08052019 SPANISH (002).docx
Distracted Driving Screener 08052019 SPANISH (002).docx
No
Paper Only
Form and Instruction
NHTSA Form 1517
Distracted Driving Mod Guide 08052019 SPANISH
Distracted Driving Mod Guide 08052019 SPANISH.docx
No
Printable Only
Form and Instruction
NHTSA Form 1518
Distracted Driving Mod Guide 08052019 GENERAL MARKET AND SPANISH BACK TRANSLATION
Distracted Driving Mod Guide 08052019 GENERAL MARKET AND SPANISH BACK TRANSLATION.docx
No
Paper Only
Form
nhtsa fORM 1519
Distracted Driving Screener 08052019 SPANISH BACK TRANSLATION
Distracted Driving Screener 08052019 SPANISH BACK TRANSLATION.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:
2,000
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
2,000
0
2,000
0
0
0
Annual IC Time Burden (Hours)
289
0
289
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Distracted Driving Generic Clearance
Distracted Driving Generic Clearance 08052019.docx
08/08/2019
Distraction Concepts_Eng_with scripts
NHTSA_Spa Distracted_Concepts_08-05-19.pdf
08/08/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.