Information Collection Request

Evaluating Safety Benefits of an On-Board Monitoring System (OBMS) in Commercial Vehicle Operations: Independent Evaluation and Data Analysis

ICR 201107-2126-001 · OMB 2126-0050 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MCSA-5855 OBMS Study Exit Interview Form New Available
Form MCSA-5854 OBMS Study Withdrawal Questionnaire Form New Available
Form MCSA-5853 OBMS Study Intervention Questionnaire Form New Available
Form MCSA-5852 OBMS Study Pre-Study Questionnaire Form New Available
PRA-2126NEW.OBMS.ATTACHMENT L--contact letters Oct22 YP.doc Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.Atch K.UWInformedConsent Form.102710.doc Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.ATTCH J--Approved IRB for pilot study.pdf Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.30day.FR.OBMS.062411.pdf Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.ATCH H.Response to Comment.doc Supplementary Document Uploaded 2011-07-26 Available
49 CFR 1.73.doc Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.ATCH G.60-dayFRN. Comment1.pdf Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.60day.FR.OBMS.032911.pdf Supplementary Document Uploaded 2011-07-26 Available
49 U.S.C. 31502.doc Supplementary Document Uploaded 2011-07-26 Available
49 U.S.C. 31136.doc Supplementary Document Uploaded 2011-07-26 Available
49 U.S.C. 31133, General Powers of the Secretary of Transportation.doc Supplementary Document Uploaded 2011-07-26 Available
49 U.S.C. 504. Reports and records.doc Supplementary Document Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.SS.PartB.071811.doc Supporting Statement B Uploaded 2011-07-26 Available
PRA-2126NEW.OBMS.SS.PartA 121611.Rev.doc Supporting Statement A Uploaded 2011-12-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
198647 OBMS Study Exit Interview Form New
198646 OBMS Study Withdrawal Questionnaire Form New
198645 OBMS Study Intervention Questionnaire Form New
198471 OBMS Study Pre-Study Questionnaire Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved
3,000 0 0
792 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 792 0 0 792 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No