Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 1830 - Eligibility Questionnaire - Focus Groups New 167 42 0 Form and Instruction 1830
Form 1831 - Informed Consent - Focus Groups New 64 11 0 Form and Instruction 1831
Form 1832 - Focus Group Study New 64 91 0 Form and Instruction 1832
Form 1833 - Eligibility Questionnaire - On-Road New 167 42 0 Form and Instruction 1833
Form 1834 - Informed Consent New 53 11 0 Form and Instruction 1834
Form 1835 - Perception of Risk / Frequency of Risky Behavior Questionnaire New 53 9 0 Form and Instruction 1835
Form 1836 - Grip Strength Measurement New 53 3 0 Form 1836
Form 1837 - Trust in Automated Systems Scale New 53 7 0 Form and Instruction 1837
Form 1838 - Onboard Monitoring System Acceptance Survey New 53 7 0 Form and Instruction 1838
Form 1839 - System Understanding Questionnaire New 53 9 0 Form and Instruction 1839
Form 2190 Debriefing - Focus Groups New 64 11 0 Form and Instruction 2190
Form 2190 Debriefing - On Road Driving New 53 4 0 Form and Instruction 2190
Study Drive (Eye Tracker Setup & Calibration, Vehicle Familiarization/Training, Study Drive) New 53 71 0 Form and Instruction 2189
Total burden requested under this ICR: 950 318 0  
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