OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Testing

IC 233911 under ICR 201811-2127-002 · OMB 2127-0736.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Testing
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1445 Activity Log Form1445_ActivityLog_v9_7_18_18.docx Yes Yes Fillable Printable
Form and Instruction 1446 Sleep Questionnaire Form1446_SleepQuestionnaire_v10_7_18_18.doc Yes Yes Fillable Printable
Form and Instruction 1447 Stanford Sleepiness Scale Form1447_StanfordSleepinessScale_v10_7_18_18.doc Yes Yes Fillable Printable
Form and Instruction 1448 Drive Break Survey Form1448_DriveBreakSurvey_v10_7_18_18.docx Yes Yes Fillable Printable
Form and Instruction 1449A Post Drive Survey (Baseline) Form1449A_PostDriveSurvey_Baseline_v10_7_18_18.docx Yes Yes Fillable Printable
Form and Instruction 1449B Post Drive Survey (Lane Departure Warning) Form1449B_PostDriveSurvey_LDW_v10_7_18_18.docx Yes Yes Fillable Printable
Form and Instruction 1449C Post Drive Survey (Drowsiness Mitigation and Lane Departure Warning) Form1449C_PostDriveSurvey_DM+LDW_v10_7_18_18.docx Yes Yes Fillable Printable

Transportation Ground Transportation

 

75 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 75 0 75 0 0 0
Annual IC Time Burden (Hours) 713 0 713 0 0 0
Annual IC Cost Burden (Dollars) 19,181 0 19,181 0 0 0

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.