Information Collection Request

Human Interaction with Driving Automation Systems

ICR 202503-2127-003 · OMB 2127-0771 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1749 Post-Drive Questionnaire Form Unchanged Available
Form NHTSA Form 1749 Post-Drive Questionnaire Form Unchanged Repair queued
Form NHTSA Form 1748 In-Drive Questionnaire Form Unchanged Available
Form NHTSA Form 1748 Driving Behavior Assessment Form Unchanged Repair queued
Form NHTSA Form 1747 Wellness Questionnaire Form Unchanged Available
Form NHTSA Form 1747 Wellness Questionnaire Form Unchanged Repair queued
Form NHTSA Form 1746 Pre-Drive Questionnaire Form Modified Available
Form NHTSA Form 1746 Pre-Drive Questionnaire Form Modified Repair queued
Form NHTSA Form 1745 Informed Consent Study 3 Form and Instruction Modified Available
Form NHTSA Form 1745 Informed Consent Study 3 Form and Instruction Modified Available
Form NHTSA Form 1744 Informed Consent Study 2 Form and Instruction Modified Available
Form NHTSA Form 1744 Informed Consent Study 2 Form and Instruction Modified Repair queued
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction Modified Available
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction Modified Repair queued
Form NHTSA Form 1742 Eligibility Questionnaire Form and Instruction Modified Available
Form NHTSA Form 1742 Eligibility Questionnaire Form and Instruction Modified Repair queued
Justification Memo for Non Substantive Changes.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-14 Available
Justification Memo for Non Substantive Changes.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-14 Repair queued
Part A_HIDAS_OMB_v10 CLEAN.docx Supporting Statement A Uploaded 2024-10-24 Available
Part A_HIDAS_OMB_v10 CLEAN.docx Supporting Statement A Uploaded 2024-10-24 Repair queued
60 day notice pdf.pdf Supplementary Document Uploaded 2024-05-31 Available
60 day notice pdf.pdf Supplementary Document Uploaded 2024-05-31 Repair queued
Part B_HIDAS_v2 CLEAN.docx Supporting Statement B Uploaded 2024-10-24 Available
Part B_HIDAS_v2 CLEAN.docx Supporting Statement B Uploaded 2024-10-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
268187 Balloon Analogue Risk Task Other-IC Description Unchanged
268186 Post-Drive Questionnaire Form UnchangedPost-Drive Questionnaire
268186 Post-Drive Questionnaire Form Unchanged
268185 Driving Behavior Assessment Form UnchangedIn-Drive Questionnaire
268185 Driving Behavior Assessment Form Unchanged
268183 Wellness Questionnaire Form UnchangedWellness Questionnaire
268183 Wellness Questionnaire Form Unchanged
268182 Pre-Drive Questionnaire Form ModifiedPre-Drive Questionnaire
268182 Pre-Drive Questionnaire Form Modified
268181 Informed Consent Study 3 Form and Instruction ModifiedInformed Consent Study 3
268181 Informed Consent Study 3 Form and Instruction Modified
268180 Informed Consent Study 2 Form and Instruction ModifiedInformed Consent Study 2
268180 Informed Consent Study 2 Form and Instruction Modified
268179 Informed Consent Study 1 Form and Instruction ModifiedInformed Consent Study 1
268179 Informed Consent Study 1 Form and Instruction Modified
268178 Eligibility Questionnaire Form and Instruction ModifiedEligibility Questionnaire
268178 Eligibility Questionnaire Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2027 10/31/2027 10/31/2027
1,033 0 1,033
301 0 301
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 1,033 0 0 0 0
Annual Time Burden (Hours) 301 301 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No