Information Collection

Task 5 - Perceptions of Technology & Vehicle ADS questionnaire

IC 261955 under ICR 202308-2126-001 · OMB 2126-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form No. 5 Task 5 - Perceptions of Technology & Vehicle ADS questionnaire	Form and Instruction
Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Attachment G - Data Collection Materials_3.29.24_Clean.docx	Form and Instruction
Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Attachment G - Data Collection Materials_3.29.24_Clean.docx	Form and Instruction

IC Title:

Task 5 - Perceptions of Technology & Vehicle ADS 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:

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	Form No. 5	Questionnaire #2 â Perceptions of Technology and Vehicle Safety Technologies	Attachment G - Data Collection Materials_3.29.24_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 88

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	88	88
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

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.