Information Collection Request

Instrumented On-Road Study of Motorcycle Riders

ICR 201211-2127-003 · OMB 2127-0692 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1170 Surveys for Instrumented On-Road Study of Motorcycle Riders Form and Instruction Unchanged Available
Appendix B - Informed Consent Form - REVISED Clean.docx Supplementary Document Uploaded 2012-11-20 Available
Appendix F - Question by Question Justification-REVISED.docx Supplementary Document Uploaded 2012-11-20 Available
Part B - Instrumented On-Road Study of Motorcycle Riders.docx Supporting Statement B Uploaded 2012-11-20 Available
Part A - Instrumented On-Road Study of Motorcycle Riders - REVISED.docx Supporting Statement A Uploaded 2012-11-20 Available
References.docx Supplementary Document Uploaded 2012-05-31 Available
Appendix A - Pilot Study Report.pdf Supplementary Document Uploaded 2012-05-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202221 Surveys for Instrumented On-Road Study of Motorcycle Riders Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2016 36 Months From Approved
320 0 0
240 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Surveys for Instrumented On-Road Study of Motorcycle Riders NHTSA Form 1170, NHTSA Form 1171, NHTSA Form 1172 Screener for Instrumented On-Road Study of Motorcycle Riders ,   Intake Questionnaire for Instrumented On-Road Study of Motorcycle Riders ,   Debriefing Questionnaire for Instrumented On-Road Study of Motorcycle Riders

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 320 0 0 320 0 0
Annual Time Burden (Hours) 240 0 0 240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No