Information Collection Request

Distraction: Personal Electronic Devices

ICR 202608-2127-002 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2065 Part II Email Templates Form New Available
Form 2070 Part II: Debriefing and Honorarium Confirmation Form New Available
Form 2069 Part II: Task Assessment Process Form New Available
Form 2068 Part II: Initial Setup & Intake Process (and Informed Consent) Form New Available
Form 2067 Part II: Eligibility Questionnaire Form New Available
Form 2066 Part II Advertisement Form New Available
Form 2064 Part I: Data Collection Activities (Honorarium Confirmation) Form New Available
Form 2063 Part I: Informed Consent Document Form New Available
Form 2062 Part I Appointment Confirmation Email Form New Available
Form 2061 Part I Scheduling Form Form New Available
Form 2060 Part I Eligibility Form Form New Available
Form 2059 Part I Advertisement Form New Available
Device Supporting Statements Part A_09032026.docx Supporting Statement A Uploaded 2026-09-03 Available
Bob Scopatz comment submitted as text.docx Public Comments Uploaded 2026-03-09 Available
NHTSA-2025-0058-0003_attachment_1.pdf Public Comments Uploaded 2026-05-05 Available
Device Supporting Statements Part B_2-17-26.docx Supporting Statement B Uploaded 2026-08-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
282311 Form 2065 Part II Email Templates Form NewPart II Email Templates
281959 Form 2070 Part II: Debriefing and Honorarium Confirmation Form NewPart II: Debriefing and Honorarium Confirmation
281958 Form 2069 Part II: Task Assessment Process Form NewPart II: Task Assessment Process
281957 Form 2068 Part II: Initial Setup & Intake Process Form NewPart II: Initial Setup & Intake Process (and Informed Consent)
281956 Form 2067 Part II: Eligibility Questionnaire Form NewPart II: Eligibility Questionnaire
281954 Form 2066 Part II: Advertisement Form NewPart II Advertisement
281953 Form 2064 Part I: Data Collection Activities Form NewPart I: Data Collection Activities (Honorarium Confirmation)
281952 Form 2063 Part I: Informed Consent Document Form NewPart I: Informed Consent Document
281951 Form 2062 Part I: Scheduling Process Form NewPart I Appointment Confirmation Email
281950 Form 2061 Part I: Scheduling Availability Form Form NewPart I Scheduling Form
281949 Form 2060 Part I: Eligibility Questionnaire Form NewPart I Eligibility Form
281948 Form 2059 Part I: Advertisement Form NewPart I Advertisement

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
540 0
178 0
0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Form 2059 Part I: Advertisement 2059
Form 2060 Part I: Eligibility Questionnaire 2060
Form 2061 Part I: Scheduling Availability Form 2061
Form 2062 Part I: Scheduling Process 2062
Form 2063 Part I: Informed Consent Document 2063
Form 2064 Part I: Data Collection Activities 2064
Form 2065 Part II Email Templates 2065
Form 2066 Part II: Advertisement 2066
Form 2067 Part II: Eligibility Questionnaire 2067
Form 2068 Part II: Initial Setup & Intake Process 2068
Form 2069 Part II: Task Assessment Process 2069
Form 2070 Part II: Debriefing and Honorarium Confirmation 2070

table that charts list of burden
  Total Request 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 540 0 0 540 0 0
Annual Time Burden (Hours) 178 0 0 178 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No