PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Consent form
New
110
28
0
Form and Instruction
Consent Form
Attachment G - Training Session Only Consent Form
Form and Instruction
Consent Form
Attachment G - Two-Session Consent Form
L2/L3 Simulator Session (Session 1)
New
100
300
0
Instruction
PVT
New
220
11
0
Instruction
Perceptions of Technology & Vehicle ADAS/ADS questionnaire
New
110
11
0
Form
Perceptions of Technology & ADAS/ADS Questionnaire
Attachment J - Perceptions of Technology
Post-Study ADAS/ADS Experiences & Perceptions questionnaire
New
100
10
0
Form
Post-Study Technology Experiences Questionnaire
Attachment O - Post-Study Technology Experiences
Post-Training Study questionnaire
New
100
10
0
Form
Post-training Study Questionnaire
Attachment P - Post-training Study Questionnaire
Pre-Study Driver Behavior questionnaire
New
110
7
0
Form
Pre-Study Driver Behavior Questionnaire
Attachment L - Pre-Study Driver Behavior Questionnaire
Pre-study Demographics & Previous Experiences questionnaire
New
110
8
0
Form
Pre-Study Demographics & Experience Questionnaire
Attachment I - Pre-study Demographics
Recruitment
New
200
17
0
Form
Recruitment
Attachment F - Recruitment Materials
Simulator Sickness questionnaire
New
110
2
0
Form
Simulator Sickness Questionnaire
Attachment N - Simulator Sickness Questionnaire
Situation Awareness questionnaire
New
110
5
0
Form
Situation Awareness Questionnaire
Attachment M - Situation Awareness Questionnaire
Training Simulator Session (Session 2)
New
100
300
0
Instruction
W-9 form
New
110
5
0
Form
W-9 Form
Attachment H - W9
Total burden requested under this ICR:
1590
714
0
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