Information Collection

Recruitment and Debriefing of Human Subjects for Research Related to Motor Vehicle Gear Selection Controls

IC 214635 under ICR 201501-2127-002 · OMB 2127-0708.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1264 Recruitment and Debriefing of Human Subjects for Research Related to Motor Vehicle Gear Selection Controls	Form
NHTSA Form 1264 Postt Questionnaire NHTSA Form 1264 Post Questionnaire_LG.docx	Form
NHTSA Form 1263 Eligibility Questionnaire NHTSA Form 1263 Eligibility Questionnaire - 12March2015.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1264	Postt Questionnaire	NHTSA Form 1264 Post Questionnaire_LG.docx		No		Fillable Printable
Form	NHTSA Form 1263	Eligibility Questionnaire	NHTSA Form 1263 Eligibility Questionnaire - 12March2015.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	595	595
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.