Study Questionnaire Series

Factors That Influence Effectiveness of Hazard Anticipation and Attention Maintenance Training

Documents and Forms

Document Name Document Type
Form Form 2018 Study Questionnaire Series Form and Instruction
Form 2018 Screening Questionnaire FactorsThatInfluenceEffectiveness_Screening Questionnaire_Form 2018_12.3.2025.docx Form and Instruction
Form 2019 Informed Consent FactorsThatInfluenceEffectiveness_Form 2019_ConsentForm_12.3.2025.docx Form and Instruction
Form 2020 Pre-Study Questionnaire FactorsThatInfluenceEffectiveness_Pre-Study Questionnaire_Form 2020_12.3.2025.docx Form and Instruction
Form 2021 Post-Study Questionnaire FactorsThatInfluenceEffectiveness_Post-Study Questionnaire_Form 2021_12.3.2025.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Study Questionnaire Series	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 2018	Screening Questionnaire	FactorsThatInfluenceEffectiveness_Screening Questionnaire_Form 2018_12.3.2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Form 2019	Informed Consent	FactorsThatInfluenceEffectiveness_Form 2019_ConsentForm_12.3.2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Form 2020	Pre-Study Questionnaire	FactorsThatInfluenceEffectiveness_Pre-Study Questionnaire_Form 2020_12.3.2025.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Form 2021	Post-Study Questionnaire	FactorsThatInfluenceEffectiveness_Post-Study Questionnaire_Form 2021_12.3.2025.docx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 334	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	334	334
Annual IC Time Burden (Hours)	322	322
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.