Visual Scanning Training Consent Form

Visual Scanning Training for Older Drivers

Documents and Forms

Document Name Document Type
Form 1401 Visual Scanning Training Consent Form Form and Instruction
1401 Visual Scanning Training Consent Form Visual Scanning Training Form 1401 Consent Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Visual Scanning Training Consent Form	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 and Instruction	1401	Visual Scanning Training Consent Form	Visual Scanning Training Form 1401 Consent Form.docx		No		Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	16,767	16,767

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.