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Federal forms, ICRs, and supporting documents

Information Collection

Questionnaires for Participants in Experiments Related to Driver Confusion with Regard to Keyless Ignition, Electronic Gear Shifts and Audible Warnings

IC 204204 under ICR 201209-2127-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form NHTSA Form 1176
Questionnaires for Participants in Experiments Related to Driver Confusion with Regard to Keyless Ignition, Electronic Gear Shifts and Audible Warnings		 Form
NHTSA Form 1176 Screening Form VOLPE 2012 Simulation
2012 09 25 Screening Form VOLPE 2012 (simulation).docx 		Form
NHTSA Form 1177 Screening Form VOLPE 2012 Rollaway
2012 09 25 Screening Form VOLPE 2012 (rollaway) (2).docx 		Form

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NHTSA Form 1176 Screening Form VOLPE 2012 Simulation 2012 09 25 Screening Form VOLPE 2012 (simulation).docx No   Paper Only
Form NHTSA Form 1177 Screening Form VOLPE 2012 Rollaway 2012 09 25 Screening Form VOLPE 2012 (rollaway) (2).docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.