Post-Drive Questionnaire

Crash Avoidance Warning System Human-Machine Interface Research

Documents and Forms

Document Name Document Type
Form NHTSA Form 2010 Post-Drive Questionnaire Form
NHTSA Form 2010 Post-Drive Questionnaire 5_NHTSA Form 2010_PostDriveQuestionnaire_Clean.docx Form

Information Collection (IC) Details

IC Title:	Post-Drive Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 2010	Post-Drive Questionnaire	5_NHTSA Form 2010_PostDriveQuestionnaire_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.