OMB control number

Improving Safety of Human-Robot Interaction

OMB 0920-1342 · HHS/CDC.

OMB 0920-1342

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-20PR Robot Trust QuestionnaireForm and Instruction
Form 0920-20PR Perceived Safety QuestionnaireForm and Instruction
Form 0920-20PR NASA Task Load IndexForm and Instruction
Form 0920-20PR Actual Experiment 2 – Collaborative RobotForm and Instruction
Form 0920-20PR Actual Experiment 1 – Mobile RobotForm and Instruction
Form 0920-20PR Robot Experience QuestionnaireForm and Instruction
Form 0920-20PR Virtual Reality Sickness QuestionnaireForm and Instruction
Form 0920-20PR Participant Data Collection FormForm and Instruction
Form 0920-20PR Informed ConsentForm and Instruction
Form 0920-20PR Simulator Sickness Susceptibility QuestionnaireForm and Instruction
Attachment C - IRB Approval Letter.pdf Supplementary Document
Attachment B 60 day FRN.pdf Supplementary Document
Attachment A OSH Act of 1970.pdf Supplementary Document
SSB -Robot Safety ICR Section B final.docxSupporting Statement B
SSA - Robot Safety ICR Section A v2.docxSupporting Statement A
Robot Trust Questionnaire Form and Instruction
Perceived Safety Questionnaire Form and Instruction
NASA Task Load Index Form and Instruction
Actual Experiment 2 – Collaborative Robot Form and Instruction
Actual Experiment 1 – Mobile Robot Form and Instruction
Robot Experience Questionnaire Form and Instruction
Virtual Reality Sickness Questionnaire Form and Instruction
Participant Data Collection Form Form and Instruction
Informed Consent Form and Instruction
Simulator Sickness Susceptibility Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202012-0920-016 New collection (Request for a new OMB Control Number) 2021-01-29 Approved without change