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Task 5 - Perceptions of Technology & Vehicle ADS questionnaire
Safety Impacts of Human-Automated Driving System (ADS) Team Driving Applications
OMB: 2126-0083
IC ID: 261955
OMB.report
DOT/FMCSA
OMB 2126-0083
ICR 202308-2126-001
IC 261955
( )
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
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
88
0
0
88
0
0
Annual IC Time Burden (Hours)
9
0
0
9
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.