Information Collection Request
RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent; background-color: transparent; left: 250px; top:75px; width:1px; height:1px; color:black; overflow:hid
ICR 202012-0920-016 · OMB 0920-1342 · RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-20PR Robot Trust Questionnaire |
Form and Instruction | New | Available |
| Form 0920-20PR Perceived Safety Questionnaire |
Form and Instruction | New | Repair queued |
| Form 0920-20PR NASA Task Load Index |
Form and Instruction | New | Missing upstream |
| Form 0920-20PR Actual Experiment 2 – Collaborative Robot |
Form and Instruction | New | Repair queued |
| Form 0920-20PR Actual Experiment 1 – Mobile Robot |
Form and Instruction | New | Available |
| Form 0920-20PR Robot Experience Questionnaire |
Form and Instruction | New | Available |
| Form 0920-20PR Virtual Reality Sickness Questionnaire |
Form and Instruction | New | Available |
| Form 0920-20PR Participant Data Collection Form |
Form and Instruction | New | Available |
| Form 0920-20PR Informed Consent |
Form and Instruction | New | Available |
| Form 0920-20PR Simulator Sickness Susceptibility Questionnaire |
Form and Instruction | New | Available |
 Attachment C - IRB Approval Letter.pdf |
Supplementary Document | Uploaded 2020-12-22 | Repair queued |
| Attachment B 60 day FRN.pdf |
Supplementary Document | Uploaded 2020-12-22 | Repair queued |
| Attachment A OSH Act of 1970.pdf |
Supplementary Document | Uploaded 2020-12-22 | Repair queued |
 SSB -Robot Safety ICR Section B final.docx |
Supporting Statement B | Uploaded 2020-12-22 | Repair queued |
| SSA - Robot Safety ICR Section A v2.docx |
Supporting Statement A | Uploaded 2020-12-22 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 245038 |  Robot Trust Questionnaire |
Form and Instruction | New | |
| 245037 | Perceived Safety Questionnaire |
Form and Instruction | New | |
| 245035 | NASA Task Load Index |
Form and Instruction | New | |
| 245034 | Actual Experiment 2 – Collaborative Robot |
Form and Instruction | New | |
| 245033 | Actual Experiment 1 – Mobile Robot |
Form and Instruction | New | |
| 245032 | Robot Experience Questionnaire |
Form and Instruction | New | |
| 245031 | Virtual Reality Sickness Questionnaire |
Form and Instruction | New | |
| 245030 | Participant Data Collection Form |
Form and Instruction | New | |
| 245029 | Informed Consent |
Form and Instruction | New | |
| 245028 | Simulator Sickness Susceptibility Questionnaire |
Form and Instruction | New |
ICR Details
| Status | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
|---|---|
| Agency/Subagency | RegInfo.gov Technical Difficulties focusMethod = |
| OMB Control No | 0920-1342 |
| Type of Information Collection | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
| Previous ICR Reference No | RegInfo.gov Technical Difficulties focusMethod = |
| Agency Tracking No | RegInfo.gov Technical Difficulties focusMethod = |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |