Information Collection Request

Head-Up Displays and Distraction Potential

ICR 201806-2127-007 · OMB 2127-0732 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA FORM 1348 Information Sheet Form Unchanged Available
Form NHTSA FORM 1347 Informed Consent Form Unchanged Available
Form NHTSA FORM 1346 Demographic Questionnaire Form Unchanged Available
Form NHTSA FORM 1345 Eligibility Questionnaire Form Unchanged Available
HUD Supporting Statement_part A-rev3.doc Supporting Statement A Uploaded 2018-06-22 Available
NHTSA HUD Research Plan.docx Supplementary Document Uploaded 2018-06-22 Available
Supporting Statement part B_HUDrev.docx Supporting Statement B Uploaded 2018-06-22 Available
1. HUD 60 Day FRN 2015-33022.pdf Supplementary Document Uploaded 2016-07-29 Available
2. HUD 30 Day FRN 2016-15635.pdf Supplementary Document Uploaded 2016-07-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
231922 On-Road Observation New
222754 Head-Up Displays and Distraction and Distraction Potential - Participant Study Visit Forms Form UnchangedInformation Sheet
222754 Head-Up Displays and Distraction and Distraction Potential - Participant Study Visit Forms Form UnchangedInformed Consent
222754 Head-Up Displays and Distraction and Distraction Potential - Participant Study Visit Forms Form UnchangedDemographic Questionnaire
222429 Head-Up Displays and Distraction Potential - Determining Eligibility Form UnchangedEligibility Questionnaire

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2021 36 Months From Approved
208 0 0
91 0 0
835 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Head-Up Displays and Distraction Potential - Determining Eligibility NHTSA FORM 1345
Head-Up Displays and Distraction and Distraction Potential - Participant Study Visit Forms NHTSA FORM 1347, NHTSA FORM 1346, NHTSA FORM 1348 ,   ,  
On-Road Observation

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 208 0 0 208 0 0
Annual Time Burden (Hours) 91 0 0 91 0 0
Annual Cost Burden (Dollars) 835 0 0 835 0 0


Reginfo record details
  No