Information Collection

Driver Distraction Measurement Research Simulator Sickness

IC 219592 under ICR 201601-2127-002 · OMB 2127-0718.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1311 Driver Distraction Measurement Research Simulator Sickness Form
NHTSA Form 1311 Simulator Sickness Questionnaire Questions_SimSickness3.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Driver Distraction Measurement Research Simulator Sickness	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1311	Simulator Sickness Questionnaire	Questions_SimSickness3.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10	10
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.