Informed Consent

Child Passenger Safety Perceptions and Practice in Ridesharing and Autonomous Vehicles

Documents and Forms

Document Name Document Type
Form 1689 Informed Consent Form and Instruction
1689 Focus Group Consent Form - Drivers PRA_InformedConsentDriver_CPSRideshare_2127-New_12.9.22.docx Form and Instruction
1689 Focus Group Consent Form - Drivers PRA_InformedConsentDriver_CPSRideshare_2127-New_12.9.22.docx Form and Instruction
1688 Focus Group Consent Form - Caregivers PRA_InformedConsentCaregiver_CPSRideshare_2127-New_092022 ncc 12.9.22.docx Form and Instruction
1688 Focus Group Consent Form - Caregivers PRA_InformedConsentCaregiver_CPSRideshare_2127-New_092022 ncc 12.9.22.docx Form and Instruction

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1689	Focus Group Consent Form - Drivers	PRA_InformedConsentDriver_CPSRideshare_2127-New_12.9.22.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1688	Focus Group Consent Form - Caregivers	PRA_InformedConsentCaregiver_CPSRideshare_2127-New_092022 ncc 12.9.22.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	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	36	36
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	96	96

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.