Information Collection Request
Examining Distraction and Driver Monitoring Systems to Improve Driver Safety
ICR 202308-2127-003 · OMB 2127-0770 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2127-0770 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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 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 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 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
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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 | |
| 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 | |
| 261992 | Facial Shape and Height Measurement |
Other-IC Description | New | |
| 261991 | Breathalyzer Measurement |
Other-IC Description | New | |
| 261990 | Karolinska Sleepiness Scale |
Form | New | |
| 261946 | Appointment Reminder Confirmation Process |
Form and Instruction | New | |
| 261790 | Online Eligibility Questionnaire |
Form | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOT/NHTSA |
| OMB Control No | 2127-0770 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |