Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 2150 Screening Questionnaire New 33 11 0 Form 2150
Form 2151 Participant Reminders New 10 0 0 Form 2151
Form 2152 Informed Consent New 10 1 0 Form 2152
Form 2153 Vision/Hearing Evaluation New 10 0 0 Form 2153
Form 2154 Surface Street: Controlled driving on the Smart Roads (orientation, drive-time) New 10 22 0 Form 2154
Form 2155 Highway: Prescribed driving on public roads (orientation, drive-time) New 10 6 0 Form 2155
Form 2156 Post-Drive Questionnaire New 10 1 0 Form 2156
Form 2157 Informed Consent New 67 6 0 Form 2157
Form 2158 One-time Pre-Questionnaires New 67 1 0 Form 2158
Form 2159 Survey Research Data Collection and Driver Response New 3618 30 0 Form 2159
Form 2160 One-time Post-Questionnaires New 67 1 0 Form 2160
Form 2161 Screening questionnaire New 40 2 0 Form 2161
Form 2162 Participant Scheduling New 39 1 0 Form 2162
Form 2163 Informed Consent New 13 1 0 Form 2163
Form 2164 Vision Evaluation New 13 2 0 Form 2164
Form 2165 Pre-Simulator Questionnaire New 39 1 0 Form 2165
Form 2166 Driving Simulation Checklist New 39 33 0 Form 2166
Form 2167 Post-Simulator Drive Questionnaire New 39 7 0 Form 2167
Form 2168 Demographic Questionnaire New 13 0 0 Form 2168
Form 2169 Post-Simulator Study Questionnaire New 13 1 0 Form 2169
IRS Form W-9 New 10 0 0 Form W-9
Total burden requested under this ICR: 4170 127 0  
To view an IC, click on IC Title