Information Collection

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

IC 199782 under ICR 201110-2127-002 · OMB 2127-0680.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Generic Clearance Submission Template Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
OMB Generic Clearance Submission Template PRA-2127New NHTSA Fast Track Generic_Clearance_SubmissionTemplate[1].doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB				No		Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 113,582

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	113,582	113,582
Annual IC Time Burden (Hours)	20,204	20,204
Annual IC Cost Burden (Dollars)	135,820	135,820

Documents for IC

table that charts IC Documents
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.

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