Task 5 - Perceptions of Technology & Vehicle ADS questionnaire

Safety Impacts of Human-Automated Driving System (ADS) Team Driving Applications

Documents and Forms

Document Name Document Type
Form Form No. 5 Task 5 - Perceptions of Technology & Vehicle ADS questionnaire Form and Instruction
Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Attachment G - Data Collection Materials_3.29.24_Clean.docx Form and Instruction
Form No. 5 Questionnaire #2 – Perceptions of Technology and Vehicle Attachment G - Data Collection Materials_3.29.24_Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Task 5 - Perceptions of Technology & Vehicle ADS questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.87

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form No. 5	Questionnaire #2 – Perceptions of Technology and Vehicle Safety Technologies	Attachment G - Data Collection Materials_3.29.24_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	88	88
Annual IC Time Burden (Hours)	9	9
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.