Information Collection

Head-Up Displays and Distraction Potential - Determining Eligibility

IC 222429 under ICR 201704-2127-004 · OMB 2127-0732.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0732 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA FORM 1345 Head-Up Displays and Distraction Potential - Determining Eligibility Form
NHTSA FORM 1345 Eligibility Questionnaire 5. Eligibility Questionnaire_nhtsa.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Head-Up Displays and Distraction Potential - Determining Eligibility	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	NHTSA FORM 1345	Eligibility Questionnaire	5. Eligibility Questionnaire_nhtsa.doc		No		Paper Only

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)	17	17
Annual IC Cost Burden (Dollars)	402	402

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.