Information Collection

Informed consent

IC 243357 under ICR 202001-2127-001 · OMB 2127-0747.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form Number Research Participant Informed Consent Form Informed consent	Form and Instruction
NHTSA Form Number Research Participant Informed Consent Form 1493 Informed Consent Form 20190924.pdf	Form and Instruction

IC Title:

Informed consent

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	NHTSA Form Number 1493	Research Participant Informed Consent Form	1493 Informed Consent Form 20190924.pdf		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	100	100
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.