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Surveys for Instrumented On-Road Study of Motorcycle Riders
Instrumented On-Road Study of Motorcycle Riders
OMB: 2127-0692
IC ID: 202221
OMB.report
DOT/NHTSA
OMB 2127-0692
ICR 201211-2127-003
IC 202221
( )
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1170
Surveys for Instrumented On-Road Study of Motorcycle Riders
Form and Instruction
Appendix_F_-_Question_by_Question_Justification[1].docx
Instruction
NHTSA Form 1170 Screener for Instrumented On-Road Study of Motorcycle Ri
Appendix_C_-_Screener[1].docx
Form and Instruction
NHTSA Form 1171 Intake Questionnaire for Instrumented On-Road Study of M
Appendix_D_-_Intake_Questionnaires[1].docx
Form and Instruction
NHTSA Form 1172 Debriefing Questionnaire for Instrumented On-Road Study
Appendix_E_-_Debriefing_Questionnaire[1].docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Surveys for Instrumented On-Road Study of Motorcycle Riders
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NHTSA Form 1170
Screener for Instrumented On-Road Study of Motorcycle Riders
Appendix_C_-_Screener[1].docx
No
Fillable Printable
Form and Instruction
NHTSA Form 1171
Intake Questionnaire for Instrumented On-Road Study of Motorcycle Riders
Appendix_D_-_Intake_Questionnaires[1].docx
No
Fillable Printable
Form and Instruction
NHTSA Form 1172
Debriefing Questionnaire for Instrumented On-Road Study of Motorcycle Riders
Appendix_E_-_Debriefing_Questionnaire[1].docx
No
Fillable Printable
Instruction
Appendix_F_-_Question_by_Question_Justification[1].docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
160
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
320
0
320
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.