National Evaluation of a Mileage Based Road User Charge

National Evaluation of a Mileage-Based Road User Charge Questionnaire 5

PAPERWORK BURDEN DISCLOSURE NOTICE

This collection of information is voluntary, and will be used to assess your acceptance of the National Evaluation of a Mileage-Based Road User Charge. Public reporting burden for this questionnaire is estimated to average 15 minutes. The burden estimate includes the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Your responses will be kept confidential to the extent permitted by law. To further protect your privacy, the researchers have obtained a Certificate of Confidentiality from the Department of Health and Human Services (DHHS). This Certificate means that the researchers cannot be forced (for example by court subpoena) to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceeding. The OMB control number for this collection is 2125-XXXX (state OMB #). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 400 Seventh Street, SW, Washington, DC 20590.

The following questions are about energy security. Please choose one answer from the list.

1. The U.S. economy depends on being able to obtain affordable fuel and other energy sources at all times.

 Strongly agree

 Somewhat agree

 Neither agree nor disagree

 Somewhat disagree

• Strongly disagree

• Don’t know

2. How long do you think our current oil reserves will last under the current production levels and costs?

 Less than 15 years

 15 years or more, but less than 50 years

• 50 years or more, but less than 75 years

• 75 years or more, but less than 100 years

• 100 years or more

 Indefinitely

 Don’t know

Continue to the next page

2. How high will gas prices have to get before you decide to look for an alternative fuel or hybrid vehicle?

 $3.50 per gallon

 $4.00 per gallon

• $4.50 per gallon

• $5.00 per gallon

• $5.50 per gallon

• $6.00 per gallon

• $6.50 per gallon

• $7.00 per gallon

• $7.50 per gallon

• Drive a hybrid vehicle

• Don’t know

2. In general, do you feel that gas prices are:

 Much too high

 Somewhat high

• About right

• Somewhat low

• Much too low

If you selected “Much too high” as your answer to question number 4 above, please answer question number 5 below.

2. If you believe gas prices are much too high, why do you think they are so high? Please check all that apply.

• Oil producing companies setting high prices

• High taxes on gas

• Americans use too much gas

• Market speculation

• Terrorism

• International politics

• Higher production costs

• Higher transporting costs

• Other__________________________(please specify)

2. If gas prices continue to rise in coming years, how do you think the U.S. driving public will respond? Please rank the following in terms of how likely you think they are, with 1 being the most likely and 4 being the least likely.

_____ People will use public transportation more

_____ People will move to areas where everything they need is close by

_____ People will buy vehicles that use less gas, such as hybrids and hydrogen or electric cars

_____ People will simply pay the higher price

_____ Other ____________________________ (please specify)

Continue to the next page

2. In a typical month, about how much does your total household spend on gas for personal vehicles?

• Less than $25

• $25 - $49

• $50 - $74

• $75 - $99

• $100 or more

Please indicate the extent to which you agree or disagree with each of the following statements:

2. Some people feel that dependence on other countries for oil and other energy is a threat to the country’s security.

 Strongly agree

 Somewhat agree

 Neither agree nor disagree

 Somewhat disagree

 Strongly disagree

 Don’t know

9. With road-user charge statements, a detailed breakdown of charges is more important than ensuring the highest level of privacy protection.

 Strongly agree

 Somewhat agree

 Neither agree nor disagree

 Somewhat disagree

 Strongly disagree

10. Some believe that the U.S. government could do something about the cost of gas if it tried.

 Strongly agree

 Somewhat agree

 Neither agree nor disagree

 Somewhat disagree

 Strongly disagree

 Don’t know

11. How much do you worry that problems in other countries will affect the price of oil here?

 A lot

 Some

 Very little

 Not at all

Continue to the next page

11. Next month you will receive the final comprehensive survey for the Road User Study. You will also need to schedule a date and time to have the on-board computer removed from your vehicle. The dates and times available in your area are listed below. Please pick three and rank them 1 (most desirable) to 3 (least desirable). Your final compensation of $250 will be mailed to you as soon as the final comprehensive survey is completed and the OBC is removed.

Dates	Times	Location	Preference
xxx	xxx	xxx
xxxx	xxx	xxx
xxxx	xxx	xxx
xxxx	xxx	xxx
xxxx	xxx	xxx

VERY IMPORTANT

PLEASE PROVIDE YOUR PARTICIPANT ID NUMBER BELOW TO ENSURE THAT YOUR COMPENSATION PAYMENT IS PROCESSED PROMPTLY.

For assistance please call 866-363-1975.

PARTICIPANT ID # ______________________________________________

Thank you for completing this questionnaire.

Please return your survey in the enclosed envelope to:

The University of Iowa

Public Policy Center

227 South Quad

Iowa City, IA 52242-1192

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