OMB
.report
Search
This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms
Evaluation of Heavy Vehicle Collision Warning Interfaces
OMB: 2127-0733
IC ID: 222864
OMB.report
DOT/NHTSA
OMB 2127-0733
ICR 201607-2127-001
IC 222864
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0733 can be found here:
2018-06-25 - New collection (Request for a new OMB Control Number)
2017-06-21 - New collection (Request for a new OMB Control Number)
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1337
This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms
Form and Instruction
NHTSA Form 1337 Participant Screening
Participant Screening (HV-CWI - Osprey).docx
Form and Instruction
NHTSA Form 1338 Demographics Questionnaire
HV-CWI Demographics Questionnaire.docx
Form
NHTSA Form 1339 Mid-Study Questionnaire
HV-CWI Mid-study Questionnaire.docx
Form
NHTSA Form 1340 Post Drive Questionnaire
HV-CWI Post Drive Questionnaire.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms
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
NHTSA Form 1337
Participant Screening
Participant Screening (HV-CWI - Osprey).docx
No
Fillable Fileable
Form
NHTSA Form 1338
Demographics Questionnaire
HV-CWI Demographics Questionnaire.docx
No
Fillable Fileable
Form
NHTSA Form 1339
Mid-Study Questionnaire
HV-CWI Mid-study Questionnaire.docx
No
Fillable Fileable
Form
NHTSA Form 1340
Post Drive Questionnaire
HV-CWI Post Drive Questionnaire.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
100
0
0
0
Annual IC Time Burden (Hours)
44
0
44
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.