Human Interaction with Driving Automation Systems

ICR 202405-2127-003

OMB: 2127-0771

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2127-0771 can be found here:

2025-03-20 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form NHTSA Form 1749 Post-Drive Questionnaire Form	New
Form NHTSA Form 1748 Driving Behavior Assessment Form	New
Form NHTSA Form 1747 Wellness Questionnaire Form	New
Form NHTSA Form 1746 Pre-Drive Questionnaire Form	New
Form NHTSA Form 1745 Informed Consent Study 3 Form and Instruction	New
Form NHTSA Form 1744 Informed Consent Study 2 Form and Instruction	New
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction	New
Form NHTSA Form 1742 Eligibility Questionnaire Form and Instruction	New
Part A_HIDAS_OMB_v9 clean.docx Supporting Statement A	2024-06-13
60 day notice pdf.pdf Supplementary Document	2024-05-31
Part B_HIDAS.docx Supporting Statement B	2024-05-31

IC Document Collections

IC ID	Document Title	Status
268187	Balloon Analogue Risk Task Other-IC Description	New
268186	Post-Drive Questionnaire Form	New
268185	Driving Behavior Assessment Form	New
268183	Wellness Questionnaire Form	New
268182	Pre-Drive Questionnaire Form	New
268181	Informed Consent Study 3 Form and Instruction	New
268180	Informed Consent Study 2 Form and Instruction	New
268179	Informed Consent Study 1 Form and Instruction	New
268178	Eligibility Questionnaire Form and Instruction	New

ICR Details

© 2025 OMB.report | Privacy Policy