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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recruitment and Debriefing of Human Subjects for Research Related to Motor Vehicle Gear Selection Controls	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 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 %

	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

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.