Pre-study Demographics & Previous Experiences questionnaire

Human Factors Considerations in Commercial Motor Vehicle Automated Driving Systems and Advanced Driver Assistance Systems

Documents and Forms

Document Name Document Type
Form Pre-Study Demograp Pre-study Demographics & Previous Experiences questionnaire Form
Pre-Study Demograp Attachment I - Pre-study Demographics Attachment I - Pre-study demographics.docx Form
Pre-Study Demograp Attachment I - Pre-study Demographics Attachment I - Pre-study demographics.docx Form

Information Collection (IC) Details

IC Title:	Pre-study Demographics & Previous Experiences questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.87

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Pre-Study Demographics & Experience Questionnaire	Attachment I - Pre-study Demographics	Attachment I - Pre-study demographics.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

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.