Information Collection Request

Safety Impacts of Human-Automated Driving System (ADS) Team Driving Applications

ICR 202503-2126-006 · OMB 2126-0083 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form No. 8 Questionnaire #5 – Post Study Experiences/Perceptions Form and Instruction Unchanged Repair queued
Form Form No. 8 Task 8 - Post-Study ADS Experiences & Perceptions questionnaire Form and Instruction Unchanged Missing upstream
Form Form No. 7 Questionnaire #4 - Simulator Sickness Questionnaire Form and Instruction Unchanged Available
Form Form No. 7 Task 7 - Pre-Study Driver Behavior questionnaire Form and Instruction Unchanged Repair queued
Form Form No. 6 Questionnaire #3 - PVT Form and Instruction Unchanged Available
Form Form No. 6 Task 6 - PVT Form and Instruction Unchanged Repair queued
Form Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Safety Technologies Form and Instruction Unchanged Available
Form Form No. 5 Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Form and Instruction Unchanged Missing upstream
Form Form No. 4 Questionnaire #1 - Pre-Study Demographic/Previous Experiences Form and Instruction Modified Repair queued
Form Form No. 4 Questionnaire #1 – Pre-Study Demographic/Previous Experiences Form and Instruction Modified Available
Form Form No. 4 Task 4 - Pre-study Demographics & Previous Experiences questionnaire Form and Instruction Modified Repair queued
Form Form No. 3 W9 Form Form and Instruction Unchanged Available
Form Form No. 3 Task 3 - W-9 Form Form and Instruction Unchanged Repair queued
Form Form No. 2 Consent Form Form and Instruction Unchanged Available
Form Form No. 2 Task 2 - Consent Form Form and Instruction Unchanged Repair queued
Form Form No. 1 Recruitment Materials Form and Instruction Unchanged Available
Form Form No. 1 Task 1 - Recruitment Form and Instruction Unchanged Missing upstream
Justification for Non-Substantive Change for Form for 2126-0083.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-18 Repair queued
Justification for Non-Substantive Change for Form for 2126-0083.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-18 Repair queued
Supporting Statement A - ADS Teams 04.17.24.docx Supporting Statement A Uploaded 2024-04-17 Repair queued
Supporting Statement A - ADS Teams 04.17.24.docx Supporting Statement A Uploaded 2024-04-17 Repair queued
Attachment I - W9 3.29.24.pdf Supplementary Document Uploaded 2024-04-17 Available
Attachment I - W9 3.29.24.pdf Supplementary Document Uploaded 2024-04-17 Repair queued
Attachment H - ICF 3.29.24.pdf Supplementary Document Uploaded 2024-04-17 Available
Attachment H - ICF 3.29.24.pdf Supplementary Document Uploaded 2024-04-17 Repair queued
Attachment G - Data Collection Materials_3.29.24_Clean.docx Supplementary Document Uploaded 2024-04-17 Available
Attachment G - Data Collection Materials_3.29.24_Clean.docx Supplementary Document Uploaded 2024-04-17 Missing upstream
Attachment F - Recruitment Materials_24.3.29_clean.docx Supplementary Document Uploaded 2024-04-17 Available
Attachment F - Recruitment Materials_24.3.29_clean.docx Supplementary Document Uploaded 2024-04-17 Repair queued
Supporting Statement B - ADS Teams 2024-2-9 Clean.docx Supporting Statement B Uploaded 2024-03-13 Available
Supporting Statement B - ADS Teams 2024-2-9 Clean.docx Supporting Statement B Uploaded 2024-03-13 Repair queued
30-day FR for Safety Impacts of Human ADS Team Driving Applications.pdf Supplementary Document Uploaded 2024-03-12 Available
30-day FR for Safety Impacts of Human ADS Team Driving Applications.pdf Supplementary Document Uploaded 2024-03-12 Repair queued
VT IRB-23-238 Approval Letter.pdf Supplementary Document Uploaded 2023-12-19 Available
VT IRB-23-238 Approval Letter.pdf Supplementary Document Uploaded 2023-12-19 Missing upstream
88 FR 37597.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
88 FR 37597.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 CFR 1.87.pdf Supplementary Document Uploaded 2023-08-30 Available
49 CFR 1.87.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 31502.pdf Supplementary Document Uploaded 2023-08-30 Available
49 USC 31502.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 31136.pdf Supplementary Document Uploaded 2023-08-30 Available
49 USC 31136.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 31133.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 31133.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 504.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
49 USC 504.pdf Supplementary Document Uploaded 2023-08-30 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261960 Task 9 - Human-ADS Team Driving Unchanged
261958 Task 8 - Post-Study ADS Experiences & Perceptions questionnaire Form and Instruction UnchangedQuestionnaire #5 – Post Study Experiences/Perceptions
261958 Task 8 - Post-Study ADS Experiences & Perceptions questionnaire Form and Instruction Unchanged
261957 Task 7 - Pre-Study Driver Behavior questionnaire Form and Instruction UnchangedQuestionnaire #4 - Simulator Sickness Questionnaire
261957 Task 7 - Pre-Study Driver Behavior questionnaire Form and Instruction Unchanged
261956 Task 6 - PVT Form and Instruction UnchangedQuestionnaire #3 - PVT
261956 Task 6 - PVT Form and Instruction Unchanged
261955 Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Form and Instruction UnchangedQuestionnaire #2 – Perceptions of Technology and Vehicle Safety Technologies
261955 Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Form and Instruction Unchanged
261954 Task 4 - Pre-study Demographics & Previous Experiences questionnaire Form and Instruction ModifiedQuestionnaire #1 - Pre-Study Demographic/Previous Experiences
261954 Task 4 - Pre-study Demographics & Previous Experiences questionnaire Form and Instruction ModifiedQuestionnaire #1 – Pre-Study Demographic/Previous Experiences
261954 Task 4 - Pre-study Demographics & Previous Experiences questionnaire Form and Instruction Modified
261950 Task 3 - W-9 Form Form and Instruction UnchangedW9 Form
261950 Task 3 - W-9 Form Form and Instruction Unchanged
261949 Task 2 - Consent Form Form and Instruction UnchangedConsent Form
261949 Task 2 - Consent Form Form and Instruction Unchanged
261948 Task 1 - Recruitment Form and Instruction UnchangedRecruitment Materials
261948 Task 1 - Recruitment Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 06/30/2027 06/30/2027
1,480 0 1,480
1,526 0 1,526
0 0 0





Reginfo record details
9
table that charts list of burden
IC Title Form No. Form Name
Task 1 - Recruitment Form No. 1
Task 2 - Consent Form Form No. 2
Task 3 - W-9 Form Form No. 3
Task 4 - Pre-study Demographics & Previous Experiences questionnaire Form No. 4, Form No. 4 ,  
Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Form No. 5
Task 6 - PVT Form No. 6
Task 7 - Pre-Study Driver Behavior questionnaire Form No. 7
Task 8 - Post-Study ADS Experiences & Perceptions questionnaire Form No. 8
Task 9 - Human-ADS Team Driving

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 1,480 1,480 0 0 0 0
Annual Time Burden (Hours) 1,526 1,526 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No