Information Collection

This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms

IC 222864 under ICR 201607-2127-001 · OMB 2127-0733.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0733 can be found here:

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	Available 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

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 Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	44	44
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.