OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Recruitment of Human Subjects for Driver Monitoring of Inattention and Impairment Using Vehicle Equipment (DrIIVE)

IC 208853 under ICR 201309-2127-003 · OMB 2127-0701.

Documents and Forms
Document Name
Document Type
Form
Other-Activity Log
Other-Sleepiness Rating Scale
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Recruitment of Human Subjects for Driver Monitoring of Inattention and Impairment Using Vehicle Equipment (DrIIVE)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NHTSA Form 1222 Recruitment Questionnaire 1- Recrutiment Questionnaire.doc No   Fillable Printable
Form NHTSA Form 1223 Pre-Drive Sleep and Intake Questionnaire 2- Pre-Drive Sleep and Intake Questionnaire.doc No   Fillable Printable
Other-Activity Log 3- Pre-Visit Activity Log.doc No   Fillable Printable
Form NHTSA Form 1219 Morning Evening Questionnaire 4- Morning Evening Questionnaire.doc No   Fillable Printable
Other-Sleepiness Rating Scale 5- Pre-Drive and Post-Drive Stanford Sleepiness Scale.doc No   Fillable Printable
Form NHTSA Form 1221 Retrospective Sleepiness 6- RetrospectiveSleepiness_S1R.doc No   Fillable Printable

Transportation Ground Transportation

 

168 0
   
Individuals or Households
 
   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 168 0 168 0 0 0
Annual IC Time Burden (Hours) 247 0 247 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.