Information Collection

Rear Visibility Testing Questionnaire

IC 202216 under ICR 201205-2127-003 · OMB 2127-0683.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1167 Rear Visibility Testing Questionnaire Form
NHTSA Form 1167 Recruitment: Driving Research Study 1-2RecruitmentLetter_ResponseForm_20120613.pdf Form
NHTSA Form 1168 Candidate Participant Screening 3_ScreeningQuestions_20120613_Pending.pdf Form
NHTSA Form 1169 Participant Consent 4066.PIC_20120608.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rear Visibility Testing Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	NHTSA Form 1167	Recruitment: Driving Research Study	1-2RecruitmentLetter_ResponseForm_20120613.pdf	No	Fillable Printable
Form	NHTSA Form 1169	Participant Consent	4066.PIC_20120608.pdf	No	Fillable Printable
Form	NHTSA Form 1168	Candidate Participant Screening	3_ScreeningQuestions_20120613_Pending.pdf	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 590	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	590	590
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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