Information Collection

Naturalistic Study

IC 256603 under ICR 202210-2127-005 · OMB 2127-0763.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1630 Naturalistic Study	Form and Instruction
1630 Usability Questionnaire ADAS ICR Form1630 Usability Questionnaire 111921-asg RAA.docx	Form and Instruction
1630 Usability Questionnaire ADAS ICR Form1630 Usability Questionnaire 111921-asg RAA.docx	Form and Instruction
1629 Knowledge and Opinions Questionnaire ADAS ICR Form 1629 Knowledge and Opinion 111921-asg RAA.docx	Form and Instruction
1629 Knowledge and Opinions Questionnaire ADAS ICR Form 1629 Knowledge and Opinion 111921-asg RAA.docx	Form and Instruction

IC Title:

Naturalistic Study

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	1630	Usability Questionnaire	ADAS ICR Form1630 Usability Questionnaire 111921-asg RAA.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1629	Knowledge and Opinions Questionnaire	ADAS ICR Form 1629 Knowledge and Opinion 111921-asg RAA.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	1,905	1,905
Annual IC Cost Burden (Dollars)	55,093	55,093

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.