Recruitment and Debriefing of Human Subjects for Field Test of Vehicle Occupant Protection Technologies

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1284 Vehicle Technology Determination	Form	New	Available
Form NHTSA Form 1283 Demographic Determination	Form	New	Available
Form NHTSA Form 1282 Eligibility Determination	Form	New	Available
Study Design_JKang_10262015.docx	Supplementary Document	Uploaded 2015-10-27	Available
18 Supporting Statements Part A.docx	Supporting Statement A	Uploaded 2016-03-29	Available
30day FRN_JKang_PDF.PDF	Supplementary Document	Uploaded 2015-10-27	Available
60-day FR notice_JKang.pdf	Supplementary Document	Uploaded 2015-10-27	Available
Supporting Statement Part B_JK_Final_10262015.docx	Supporting Statement B	Uploaded 2015-10-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218415	Vehicle Technology Determination	Form	New
218414	Demographic Determination	Form	New
218413	Eligibility Determination	Form	New

ICR Details

OMB Control No: 2127-0716	ICR Reference No: 201509-2127-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Recruitment and Debriefing of Human Subjects for Field Test of Vehicle Occupant Protection Technologies
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/01/2016
	Date Received in OIRA: 11/24/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved
Responses	501	0	0
Time Burden (Hours)	95	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed field study will examine seat belt use and consumer acceptance for a subset of emerging occupant protection technologies designed to increase seat belt use. The information collection involves eligibility, demographic, and debriefing questionnaires. The information will be used to recruit participants for a field study on occupant protection technologies and to get information from study participants about their experience with such systems. The study focuses on occupant protection technologies that restrict some vehicle functionality, permanently or temporarily, when they detect that a vehicle occupant is not wearing a seat belt.

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Authorizing Statute(s): US Code: 49 USC 30181, 30182, 30183 Name of Law: Motor Vehicle Safety Research and Development
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 14335	03/13/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 55903	09/17/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Eligibility Determination	NHTSA Form 1282	Eligibility Questionnaire
Demographic Determination	NHTSA Form 1283	Demographic Questionnaire
Vehicle Technology Determination	NHTSA Form 1284	Vehicle Technology Questionnaire

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	501	0	0	501	0	0
Annual Time Burden (Hours)	95	0	0	95	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection. It requires a program change due to agency discretion to add the estimated 95 hours to develop and implement the Recruitment and Debriefing of Human Subjects for Field Test of Vehicle Occupant Protection Technologies.

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Annual Cost to Federal Government: $6,082

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/24/2015

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