Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 2071 Eligibility Questionnaire New 1330 222 0 Form 2071
Form 2072 Scheduling Form New 198 20 0 Form 2072
Form 2073 Pre-Study Materials New 178 27 0 Form 2073
Form 2074 Appointment Confirmation Form New 178 3 0 Form 2074
Form 2075 Informed Consent New 178 50 0 Form 2075
Form 2076 Intake Procedures (Eligibility Confirmation, Daily Heath Survey, Simulator Familiarization Drive) New 178 62 0 Form 2076
Form 2077 Simulator SIckness Questionnaire (SSQ) New 1440 48 0 Form 2077
Form 2078 Data Collection Activities (Task Training, Task Novelty Assessment, Study Drives) New 1280 192 0 Form 2078
Form 2079 Debrief (Honorarium Form) New 160 13 0 Form 2079
Total burden requested under this ICR: 5120 637 0  
To view an IC, click on IC Title