17 Tactile Discrimination Test

Attachment 17
Tactile Discrimination Test

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
1. Name of test

Tactile Discrimination Test

2. Estimate of time it will take
5 minutes
to complete the final form of
the test (i.e., subject burden
during norming)
3. Number of items expected to 13 (inclusive of 1 practice item)
be in the final form of the test
4. Instructions to subjects
“The purpose of this activity is to see how well you can feel different
textures. The textures are in groups of three In each group, two
of the textures feel the same and one feels different. The texture
that is different can be rougher or finer. The one that is different
can be in any position: here, here, or here”.
“Let’s try one. Using your index finger, feel the textures in this row
by moving your finger from one surface to another. Keep moving
your finger until you decide which surface is different. Leave your
index finger on that surface and tell me when you are finished.”
“Use your index finger to feel the textures in this row by moving
your finger from one surface to another. Keep moving your finger
until you decide which one is different. Leave your index finger on
the surface that is different and tell me when you are finished.
“Which surface is different?”
5. Screen shots of 2-3
representative items

Public reporting burden for this collection of information is estimated to average 2 1/2 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch,
6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the
completed form to this address.