Information Collection

Older Drivers and Navigation Devices

IC 213455 under ICR 201410-2127-002 · OMB 2127-0710.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1260 Older Drivers and Navigation Devices Form
NHTSA Form 1260 Recruitment Instrument NHTSA Form 1260_KS.docx Form
NHTSA Form 1288 Consent Form NHTSA Form 1288 Part2GPSstudyconsent 122314(2).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Older Drivers and Navigation Devices	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1260	Recruitment Instrument	NHTSA Form 1260_KS.docx		No		Paper Only
Form and Instruction	NHTSA Form 1288	Consent Form	NHTSA Form 1288 Part2GPSstudyconsent 122314(2).doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 320	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	320	320
Annual IC Time Burden (Hours)	443	443
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.