Information Collection Request

Human Interaction with Driving Automation Systems

ICR 202405-2127-003 · OMB 2127-0771 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1749 Post-Drive Questionnaire Form New Available
Form NHTSA Form 1749 Post-Drive Questionnaire Form New Repair queued
Form NHTSA Form 1748 In-Drive Questionnaire Form New Repair queued
Form NHTSA Form 1748 Driving Behavior Assessment Form New Repair queued
Form NHTSA Form 1747 Wellness Questionnaire Form New Repair queued
Form NHTSA Form 1747 Wellness Questionnaire Form New Repair queued
Form NHTSA Form 1746 Pre-Drive Questionnaire Form New Available
Form NHTSA Form 1746 Pre-Drive Questionnaire Form New Available
Form NHTSA Form 1745 Informed Consent Study 3 Form and Instruction New Available
Form NHTSA Form 1745 Informed Consent Study 3 Form and Instruction New Repair queued
Form NHTSA Form 1744 Informed Consent Study 2 Form and Instruction New Available
Form NHTSA Form 1744 Informed Consent Study 2 Form and Instruction New Repair queued
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction New Available
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction New Repair queued
Form NHTSA Form 1742 Eligibility Questionnaire Form and Instruction New Available
Form NHTSA Form 1742 Eligibility Questionnaire Form and Instruction New Repair queued
Part A_HIDAS_OMB_v9 clean.docx Supporting Statement A Uploaded 2024-06-13 Repair queued
60 day notice pdf.pdf Supplementary Document Uploaded 2024-05-31 Repair queued
Part B_HIDAS.docx Supporting Statement B Uploaded 2024-05-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
268187 Balloon Analogue Risk Task Other-IC Description New
268186 Post-Drive Questionnaire Form NewPost-Drive Questionnaire
268186 Post-Drive Questionnaire Form New
268185 Driving Behavior Assessment Form NewIn-Drive Questionnaire
268185 Driving Behavior Assessment Form New
268183 Wellness Questionnaire Form NewWellness Questionnaire
268183 Wellness Questionnaire Form New
268182 Pre-Drive Questionnaire Form NewPre-Drive Questionnaire
268182 Pre-Drive Questionnaire Form New
268181 Informed Consent Study 3 Form and Instruction NewInformed Consent Study 3
268181 Informed Consent Study 3 Form and Instruction New
268180 Informed Consent Study 2 Form and Instruction NewInformed Consent Study 2
268180 Informed Consent Study 2 Form and Instruction New
268179 Informed Consent Study 1 Form and Instruction NewInformed Consent Study 1
268179 Informed Consent Study 1 Form and Instruction New
268178 Eligibility Questionnaire Form and Instruction NewEligibility Questionnaire
268178 Eligibility Questionnaire Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2027 36 Months From Approved
1,033 0 0
301 0 0
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Balloon Analogue Risk Task
Driving Behavior Assessment NHTSA Form 1748
Eligibility Questionnaire NHTSA Form 1742
Informed Consent Study 1 NHTSA Form 1743
Informed Consent Study 2 NHTSA Form 1744
Informed Consent Study 3 NHTSA Form 1745
Post-Drive Questionnaire NHTSA Form 1749
Pre-Drive Questionnaire NHTSA Form 1746
Wellness Questionnaire NHTSA Form 1747

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 1,033 0 0 1,033 0 0
Annual Time Burden (Hours) 301 0 0 301 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No