Examining Distraction and Driver Monitoring Systems to Improve Driver Safety

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1721 End of Visit Release Agreement	Form	New	Repair queued
Form NHTSA Form 1721 Track B End of Visit Release	Form	New	Repair queued
Form NHTSA Form 1720 Sleep and Food Intake	Form	New	Repair queued
Form NHTSA Form 1720 Sleep and Food Intake	Form	New	Repair queued
Form NHTSA Form 1731 Track B Informed Consent	Form and Instruction	New	Repair queued
Form NHTSA Form 1731 Track B Informed Consent	Form and Instruction	New	Repair queued
Form NHTSA Form 1730 Track A Informed Consent	Form and Instruction	New	Repair queued
Form NHTSA Form 1730 Track A Informed Consent	Form and Instruction	New	Repair queued
Form NHTSA Form 1719 Karolinska Sleepiness Scale	Form	New	Repair queued
Form NHTSA Form 1719 Karolinska Sleepiness Scale	Form	New	Repair queued
Form NHTSA Form 1799 Appointment Reminder Confirmation Process	Form and Instruction	New	Repair queued
Form NHTSA Form 1799 Appointment Reminder Confirmation Process	Form and Instruction	New	Repair queued
Form NHTSA Form 1718 Online Eligibility Questionnaire	Form	New	Repair queued
Form NHTSA Form 1718 Online Eligibility Questionnaire	Form	New	Repair queued
30-DayNotice.docx	Supplementary Document	Uploaded 2024-04-18	Repair queued
DMS SupportingStatements_PartA Post DOTPRA Comments.docx	Supporting Statement A	Uploaded 2024-04-18	Repair queued
60 day notice.pdf	Supplementary Document	Uploaded 2024-04-10	Repair queued
Statisitcal Methodology Checklist_June_8_2023_NHTSAv (4).pdf	Supplementary Document	Uploaded 2024-04-10	Repair queued
SupportingStatements_PartB.docx	Supporting Statement B	Uploaded 2024-04-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261999	Track B End of Visit Release	Form	New	End of Visit Release Agreement
261999	Track B End of Visit Release	Form	New
261998	Track B Study Drive	Other-IC Description	New
261997	Sleep and Food Intake	Form	New	Sleep and Food Intake
261997	Sleep and Food Intake	Form	New
261996	Track B Informed Consent	Form and Instruction	New	Track B Informed Consent
261996	Track B Informed Consent	Form and Instruction	New
261995	Track A Study Drive	Other-IC Description	New
261994	Track A Informed Consent	Form and Instruction	New	Track A Informed Consent
261994	Track A Informed Consent	Form and Instruction	New
261992	Facial Shape and Height Measurement	Other-IC Description	New
261991	Breathalyzer Measurement	Other-IC Description	New
261990	Karolinska Sleepiness Scale	Form	New	Karolinska Sleepiness Scale
261990	Karolinska Sleepiness Scale	Form	New
261946	Appointment Reminder Confirmation Process	Form and Instruction	New	Appointment Reminder Confirmation Process
261946	Appointment Reminder Confirmation Process	Form and Instruction	New
261790	Online Eligibility Questionnaire	Form	New	Online Eligibility Questionnaire
261790	Online Eligibility Questionnaire	Form	New

ICR Details

OMB Control No: 2127-0770	ICR Reference No: 202308-2127-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Examining Distraction and Driver Monitoring Systems to Improve Driver Safety
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/03/2024
Terms of Clearance: In accordance with 5 CFR 1320, this information collection is approved

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2027	36 Months From Approved
Responses	626	0	0
Time Burden (Hours)	175	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Highway Traffic Safety Administration (NHTSA) is seeking approval for this new information collection request (ICR) to allow NHTSA to conduct a study on driver monitoring systems (DMS). DMS refers to in-vehicle technology that can detect driver state and interact with the driver through the human-machine interface (the user interface that connects the driver to the vehicle). NHTSA is proposing to conduct a study to improve NHTSA’s understanding of the differences in approaches to driver state detection and the potential safety impacts of DMS. The voluntary study would involve recruiting licensed drivers for the following information collections as part of a simulated driving study: (1) an online eligibility questionnaire to determine eligibility for participation; (2) an appointment reminder confirmation process; (3) informed consent form for participation in Track A; (4) informed consent form for participation in Track B; (5) breathalyzer measurements to ensure continued eligibility for the study drives; (6) facial shape and height measurements; (7) sleep and food intake questionnaire; (8) Karolinska Sleepiness Scale measurements; (9) Track A study drives; (10) Track B study drives; and (11) Track B end of visit release agreement . The objective of this simulator driving study is to assess the ability of DMS to assess driver states (e.g., distracted, drowsy) and understand how differences in DMS impact the ability of a system to reliably assess different driving states. This study will add to the state of knowledge by experimentally collecting data to support a full assessment of the factors associated with DMS and the modeling of driver state based on sensor data. Response to the collections of information is voluntary and the information collections are part of a one-time study, although some information collections are collected multiple times per respondent. Respondents are generally healthy individuals aged 18 and older. Efforts will be made to enroll a diverse age sample that broadly represents the age of the driving population and includes those at greater risk of crashing (e.g., less than 25 years of age and greater than 65 years of age). Additional efforts will be made to enroll individuals with diverse skin tones, oversampling those who rate themselves higher on the Fitzpatrick Skin Type Scale. The study will be reviewed and approved by the University of Iowa Institutional Review Board (IRB) before any data collection procedures begin.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 45269	07/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 37277	05/06/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Appointment Reminder Confirmation Process	NHTSA Form 1799	Appointment Reminder Confirmation Process
Breathalyzer Measurement
Facial Shape and Height Measurement
Karolinska Sleepiness Scale	NHTSA Form 1719	Karolinska Sleepiness Scale
Online Eligibility Questionnaire	NHTSA Form 1718	Online Eligibility Questionnaire
Sleep and Food Intake	NHTSA Form 1720	Sleep and Food Intake
Track A Informed Consent	NHTSA Form 1730	Track A Informed Consent
Track A Study Drive
Track B End of Visit Release	NHTSA Form 1721	End of Visit Release Agreement
Track B Informed Consent	NHTSA Form 1731	Track B Informed Consent
Track B Study Drive

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ICR Summary of Burden

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	626	0	0	626	0	0
Annual Time Burden (Hours)	175	0	0	175	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The collection of this information is associated with a new project. As such, the annual burden time is 175 hours with no direct cost to the respondent.

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Annual Cost to Federal Government: $109,173

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2024

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