Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Balloon Analogue Risk Task Unchanged 100 8 0 Other-IC Description
Driving Behavior Assessment Unchanged 100 133 0 Form NHTSA Form 1748
Eligibility Questionnaire Modified 233 43 0 Form and Instruction NHTSA Form 1742
Informed Consent Study 1 Modified 60 20 0 Form and Instruction NHTSA Form 1743
Informed Consent Study 2 Modified 20 7 0 Form and Instruction NHTSA Form 1744
Informed Consent Study 3 Modified 20 7 0 Form and Instruction NHTSA Form 1745
Post-Drive Questionnaire Unchanged 100 33 0 Form NHTSA Form 1749
Pre-Drive Questionnaire Modified 100 25 0 Form NHTSA Form 1746
Wellness Questionnaire Unchanged 300 25 0 Form NHTSA Form 1747
Total burden requested under this ICR: 1033 301 0  
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