Informed Consent Study 1

Human Interaction with Driving Automation Systems

Documents and Forms

Document Name Document Type
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction
Form NHTSA Form 1743 Informed Consent Study 1 Form and Instruction
NHTSA Form 1743 Informed Consent Study 1 Form1743_InformedConsent_Study1.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Informed Consent Study 1	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	NHTSA Form 1743	Informed Consent Study 1	Form1743_InformedConsent_Study1.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	20	20
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.