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
IC-10: Post-Experiment Survey
New
256
21
0
Form and Instruction
Form 10
Post-Experiment Survey
IC-11: Issuance of Compensation
New
256
4
0
IC-1: Recruitment Response
New
357
65
0
Form and Instruction
Form 1
Recruitment Response Including Eligibility Screening
IC-2: Informed Consent Form
New
256
55
0
Form and Instruction
Form 2
Informed Consent Form
IC-3:IRS W-9 Form
New
256
17
0
Form and Instruction
Form 3
IRS W-9 Form
IC-4: Hearing Test
New
256
4
0
Form and Instruction
Form 4
Hearing Test
IC-5: Vision Test
New
256
13
0
Form and Instruction
Form 5
Visual Acuity and Color Vision Tests
IC-6: Demographic Questionnaire
New
256
9
0
Form
Form 6
Demographic Survey
IC-7: Risk Propensity Questionnaire
New
256
30
0
Form and Instruction
Form 7
Risk Propensity Questionnaire
IC-8: Driving Portion of the Study
New
256
277
0
IC-9: Study Acknowledgement Form
New
256
9
0
Form and Instruction
Form 9
Study Acknowledgement Form
Total burden requested under this ICR:
2917
504
0
To view an IC, click on IC Title