Information Collection

Informed Consent Form

IC 251505 under ICR 202202-2127-003 · OMB 2127-0757.

Documents and Forms

Document Name Document Type
Form 1600 Informed Consent Form Form and Instruction
1600 Informed Consent Form Form 1600_Informed Consent Form_Fatal Crash project 012522 (1).docx Form and Instruction
1600 Informed Consent Form Form 1600_Informed Consent Form_Fatal Crash project 012522 (1).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Informed Consent Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	1600	Informed Consent Form	Form 1600_Informed Consent Form_Fatal Crash project 012522 (1).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,668	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,668	1,668
Annual IC Time Burden (Hours)	139	139
Annual IC Cost Burden (Dollars)	4,159	4,159

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.