Older Drivers' Self-Regulation and Exposure Oral Interview

Older Drivers’ Self-Regulation and Exposure

Documents and Forms

Document Name Document Type
Form 1295 Older Drivers' Self-Regulation and Exposure Oral Interview Form and Instruction
1295 Older Drivers’ Self-Regulation and Exposure Oral Intervi Appendix D Form1295 Screener.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Older Drivers' Self-Regulation and Exposure Oral Interview	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 and Instruction	1295	Older Drivers’ Self-Regulation and Exposure Oral Interview	Appendix D Form1295 Screener.docx		Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	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	180	180
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	365	365

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.