NHTSA Form 2044 - Participant Informed Consent

Drivers’ Use of Camera-Based Rear Visibility Systems Versus Traditional Mirrors

Documents and Forms

Document Name Document Type
Form 2044 NHTSA Form 2044 - Participant Informed Consent Form
2044 Participant Informed Consent 3_NHTSA Form 2044_Participant Informed Consent Form_Drivers Use of Camera-Based Vis.docx Form

Information Collection (IC) Details

IC Title:	NHTSA Form 2044 - Participant Informed Consent	Agency IC Tracking Number:

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	2044	Participant Informed Consent	3_NHTSA Form 2044_Participant Informed Consent Form_Drivers Use of Camera-Based Vis.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 156	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	156	156
Annual IC Time Burden (Hours)	78	78
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.