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 201704-2127-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1337 Participant Screening This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms	Form and Instruction
Form NHTSA Form 1338 Demographics Questionnaire This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms	Form
Form NHTSA Form 1339 Mid-Study Questionnaire This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms	Form
Form NHTSA Form 1340 Post Drive Questionnaire This is a new data information collection, regarding the evaluation of heavy vehicle collision warning interfaces participants study forms	Form
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

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: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1337	No	Fillable Fileable
Form	NHTSA Form 1338	No	Fillable Fileable
Form	NHTSA Form 1339	No	Fillable Fileable
Form	NHTSA Form 1340	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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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