View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Routine Customer Feedback - Drug-Impaired Driving Prevention	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 and Instruction	NHTSA Form 1700	Online Survey Questionnaire Drug-Impaired Driving Prevention	Drug Impaired Driving_ Survey Instrument_Final.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	167	0	167	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Generic Clearance Routine Customer Feedback Drug-Impaired Driving	Fast Track Clearance Request_Drug Impaired Driving_Final.docx	04/24/2023

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