Information Collection Request

Child Passenger Safety Perceptions and Practice in Ridesharing and Autonomous Vehicles

ICR 202212-2127-005 · OMB 2127-0764 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1689 Informed Consent Form and Instruction New Repair queued
Form 1687 Screener and Follow-up Scheduling Form and Instruction New Repair queued
PRA_SS_PartA_CPSRideshare_2127-New_010323.docx Supporting Statement A Uploaded 2023-01-03 Repair queued
30 Day Notice CPS Rideshare.pdf Supplementary Document Uploaded 2023-01-03 Repair queued
60 Day Notice CPS Rideshare.pdf Supplementary Document Uploaded 2022-12-20 Repair queued
22.11.17 PRA_SS_PartB_CPSRideshare_2127-New_093022.docx Supporting Statement B Uploaded 2022-12-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
257460 Focus Groups New
257458 Informed Consent Form and Instruction New
257458 Informed Consent New
257457 Screener and Follow-up Scheduling Form and Instruction New
257457 Screener and Follow-up Scheduling New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 36 Months From Approved
272 0 0
107 0 0
3,422 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Focus Groups
Informed Consent 1688, 1689
Screener and Follow-up Scheduling 1687

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 272 0 0 272 0 0
Annual Time Burden (Hours) 107 0 0 107 0 0
Annual Cost Burden (Dollars) 3,422 0 0 3,422 0 0


Reginfo record details
  No