Information Collection

Head-Up Displays and Distraction Potential - Determining Eligibility

IC 222429 under ICR 201806-2127-007 · OMB 2127-0732.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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.	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 %

table that charts list of burden
	Approved	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

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.