Information Collection

Driver Distraction Measurement Research Applicant Screening

IC 219591 under ICR 201601-2127-002 · OMB 2127-0718.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1310 Driver Distraction Measurement Research Applicant Screening	Form
NHTSA Form 1310 Transportation Research Center, Inc. Driving Simulator R Questions_Screening2_v3web.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.95

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 1310	Transportation Research Center, Inc. Driving Simulator Research Study Applicant Screening Form	Questions_Screening2_v3web.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	168	168
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.