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
Eligible, Enrolled - Smart Phone DAS Only
New
759
1619
0
Form and Instruction
NHTSA Form 2228, 2229, 2230, 2232, and 2233
Screening Questionnaire, Informed Consent Briefing, Baseline Questionnaire (Smartphone DAS Only), Study Period Questionnaire, Final Questionnaire (Smartphone DAS Only)
Eligible, Enrolled - Smart Phone and Vehicle DAS
New
75
760
0
Form and Instruction
NHTSA Form 2228, 2229, 2231, 2232, and 2234
Screening Questionnaire, Informed Consent Briefing, Baseline Questionnaire (Smartphone & Vehicle DASs), Study Period Questionnaire, Final Questionnaire (Smartphone & Vehicle DASs)
Eligible, Not Enrolled
New
167
33
0
Form and Instruction
NHTSA Form 2228 and 2229
Screening Questionnaire and Informed Consent Briefing
Parent/Guardian Consent
New
501
84
0
Form and Instruction
NHTSA Form 2229
Informed Consent Briefing
Screened, Ineligible
New
2336
78
0
Form and Instruction
NHTSA Form 2228
Screening Questionnaire
Total burden requested under this ICR:
3838
2574
0
To view an IC, click on IC Title
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