Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 2080 Appointment Reminder Confirmation Process – Alcohol Dosed – Study 1B New 12 1 0 Form 2080
Form 2081 Appointment Confirmation Sober Study 1B New 22 2 0 Form 2081
Form 2082 Appointment Reminder Confirmation Process – Study 2 New 12 1 0 Form and Instruction 2082
Form 2083 Combined Driving Questionnaire (Study 1B - Sober & Study 2) New 32 3 0 Form 2083
Form 2083 Combined Driving Questionnaire - Study 1B (Alcohol Dosed); Alcohol dosing procedures New 12 13 0 Form 2083
Form 2084 Debriefing Statement - Study 1B New 32 3 0 Form 2084
Form 2085 Debriefing Statement - Study 2 New 12 1 0 Form 2085
Form 2086 Eligibility Questionnaire – Study 1B New 200 33 0 Form 2086
Form 2087 Eligibility Questionnaire – Study 2 New 67 11 0 Form 2087
Form 2088 End of Visit Procedures (includes form End of Visit Release Agreement) - Study 1B New 12 28 0 Form 2088
Form 2088 End of Visit Release Agreement - Study 2 New 12 27 0 Form 2088
Form 2089 Informed Consent – Alcohol Dosed – Study 1B; Intake & Eligibility Confirmation New 12 9 0 Form 2089
Form 2090 Informed Consent – Sober – Study 1B; Intake & Eligibility Confirmation New 22 13 0 Form 2090
Form 2091 Informed Consent – Study 2; Intake & Eligibility Confirmation; Sober Baseline Driving Procedures; Alcohol Dosing Procedures New 12 27 0 Form 2091
Form 2092 Online Survey – Study 1A New 183 15 0 Form 2092
Form 2093 Post-Drive Questionnaire – Study 2 New 12 2 0 Form 2093
Form 2094 Telltale Evaluation Drives; Post-Drive Ratings – Study 2 New 36 12 0 Form 2094
Form 2095 Telltale Acceptance Questionnaire – Study 1B New 32 3 0 Form 2095
Form 2096 Telltale Evaluation at Simulator (includes form Telltale Questions – Study 1B) New 32 13 0 Form 2096
Form 2097 Wellness Questionnaire – Study 2 New 24 2 0 Form 2097
Total burden requested under this ICR: 790 219 0  
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