This synthesis documents current practices used by states installing rumble strips and explores variations in practice in terms of design, criteria, and locations for installation, maintenance, perceived benefits, communication of benefits, and important issues. Information was acquired through a literature review, survey on current practice, and case examples. The survey also included questions specific to the state of practice for rumble stripes, which is the term used when the pavement marking lines are painted on the rumble strip in an effort to increase visibility during inclement weather conditions. The findings indicate that two-thirds of the state agencies rely on traditional methods to address the noise issue: skipping rumbles in residential areas, adjusting their depth, or not installing rumbles at all. The overwhelming majority of responding states, 83%, have developed policies or guidance to modify their rumble design practices to be sensitive to cyclists. Fewer than half the respondents have developed policies/guidance to address pavement deterioration; several agencies indicated that pavement condition is a factor on whether to install a rumble or not. The survey also showed that very few state DOTs have created public campaigns to explain that the use of rumbles improves safety so that complaints regarding noise, bicycle issues, and other are minimized.