Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Task 1 - Recruitment Unchanged 160 27 0 Form and Instruction Form No. 1 Recruitment Materials
Task 2 - Consent Form Unchanged 88 22 0 Form and Instruction Form No. 2 Consent Form
Task 3 - W-9 Form Unchanged 88 4 0 Form and Instruction Form No. 3 W9 Form
Task 4 - Pre-study Demographics & Previous Experiences questionnaire Modified 88 7 0 Form and Instruction Form No. 4 Questionnaire #1 – Pre-Study Demographic/Previous Experiences
Form and Instruction Form No. 4 Questionnaire #1 - Pre-Study Demographic/Previous Experiences
Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Unchanged 88 9 0 Form and Instruction Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Safety Technologies
Task 6 - PVT Unchanged 704 35 0 Form and Instruction Form No. 6 Questionnaire #3 - PVT
Task 7 - Pre-Study Driver Behavior questionnaire Unchanged 88 5 0 Form and Instruction Form No. 7 Questionnaire #4 - Simulator Sickness Questionnaire
Task 8 - Post-Study ADS Experiences & Perceptions questionnaire Unchanged 88 9 0 Form and Instruction Form No. 8 Questionnaire #5 – Post Study Experiences/Perceptions
Task 9 - Human-ADS Team Driving Unchanged 88 1408 0
Total burden requested under this ICR: 1480 1526 0  
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