Physical Fitness and Driving Performance

Documents and Forms

Document Name Document Type
Form NHTSA Form 1227 Physical Fitness and Driving Performance Form
NHTSA Form 1227 Recruitment Form NHTSA_Form_1227[1].docx Form
NHTSA Form 1277 Adult Consent Form NHTSA Form 1277 Driving_Fitness_Adult_Consent_4 10 14.docx Form
NHTSA Form 1281 Adult Consent-Driving NHTSA Form 1281 Driving_Fitness_Adult_Consent_Phase 2.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Physical Fitness and Driving Performance	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	Available Electronically?	Electronic Capability
Form	NHTSA Form 1227	Recruitment Form	NHTSA_Form_1227[1].docx	No	Paper Only
Form	NHTSA Form 1277	Adult Consent Form	NHTSA Form 1277 Driving_Fitness_Adult_Consent_4 10 14.docx	No	Paper Only
Form	NHTSA Form 1281	Adult Consent-Driving	NHTSA Form 1281 Driving_Fitness_Adult_Consent_Phase 2.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 270	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	270	270
Annual IC Time Burden (Hours)	495	495
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.