Information Collection Request

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

ICR 201202-2127-006 · OMB 2127-0682 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form NHTSA Form 1293 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1272 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New Available
Form NHTSA Form 1270 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA 1269 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New Available
Form NHTSA Form 1261 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1253 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1251 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1247 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1245 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1241 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1208 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1203 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New Available
Form NHTSA Form 1201 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1200 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1187 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1182 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
Form NHTSA Form 1163 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Repair queued
Form NHTSA Form 1178 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New Available
Form NHTSA Form 1166 CPS Tracking Form New Available
Form NHTSA Form 1164 Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New Available
PRA-2127New NHTSA Fast Track Generic Clearance SubmissionTemplate.doc Supplementary Document Uploaded 2012-02-21 Repair queued
PRA-2127 NEW NHTSA Fast Track Generic Clearance SS PartB.dot Supporting Statement B Uploaded 2012-02-21 Repair queued
PRA-2127 NEW NHTSA Fast Track Generic Clearance Part A.doc Supporting Statement A Uploaded 2012-02-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
214664 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
213232 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New
212822 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
212640 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New
211926 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
211342 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
210615 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
210440 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
210143 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
209615 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
208023 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
207809 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New
207339 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
207106 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
206016 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
205082 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
204775 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
204536 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction New
201751 CPS Tracking Form New
201333 Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form New
ICR Details
2127-0682 201202-2127-006
Historical Active
DOT/NHTSA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/21/2012
Retrieve Notice of Action (NOA) 02/21/2012
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request
  Inventory as of this Action Requested Previously Approved
02/28/2015 36 Months From Approved
113,582 0 0
20,204 0 0
135,820 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  75 FR 80542 12/22/2010
76 FR 62148 10/06/2011
No

20
IC Title Form No. Form Name
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1182 Impaired Driving Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1204, NHTSA Form 1205, NHTSA Form 1206, NHTSA Form 1207, NHTSA Form 1203 Parent Screener ,   Parents Moderators Guide ,   Underage DDP Screener High School ,   Underage DDP Screener Non-High School ,   Underage DDP Group Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1214, NHTSA Form 1208, NHTSA Form 1209, NHTSA Form 1210, NHTSA Form 1211, NHTSA Form 1213 Parent Screener ,   Parent Discussion Guide ,   Tween Screener ,   Tween Discussion Guide ,   Parent Screener - Spanish ,   Parent Discussion Guide-Spanish
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1164, NHTSA Form 1165 CIOT Screener ,   CIOT 2012 Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1255, NHTSA Form 1256, NHTSA Form 1254, NHTSA Form 1253 NHTSA Tween Seat Belt Comm Checks Moderators Guide - English ,   NHTSA Tween Seat Belt Comm Checks Moderators Guide - Spanish ,   NHTSA Tween Seat Belt Recruitment Screener - English ,   NHTSA Tween Seat Belt Recruitment Screener - Spanish
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1245, NHTSA Form 1246 Texting Enforcement Moderators Guide ,   Texting Enforcement Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1241 Impaired Driving Online Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1200 Distracted Driving Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1261, NHTSA Form 1262 ODI Focus Group Screener - Attachment A ,   ODI Focus Group Discsscusison Guide-Attachment B
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1248, NHTSA Form 1247 Tagline Assessment Screener ,   Tagline Assessment Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1187, NHTSA Form 1191, NHTSA Form 1188, NHTSA Form 1192, NHTSA Form 1189, NHTSA Form 1193, NHTSA Form 1190, NHTSA Form 1194 Screener Guide for Community Participants Focus Group Recruitmet ,   Moderators Guide-Community Participants ,   Screener Guide for Community Service Delivery Organizations Focus Group Recruitment ,   Moderators Guide Community Service Delivery Organizations ,   Screener Guide for Law Enforcement Focus Group Recruitment ,   Moderators Guide Law Enforcement ,   Screener Guide for Tool Kit Review Focus Group Community Participants ,   Moderators Guide Tool Kit Community Participants
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1271, NHTSA Form 1270 NHTSA UDDP Screener ,   NHTSA UDDP Comm Checks Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1272 Survey for Seat Belt Safety Public Service Advertising Campaign
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1251, NHTSA Form 1252 ODI Focus Group Screener ,   ODI Focus Group Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1163 Vehicle Safety Hotline (VSH) Customer Service Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1268, NHTSA 1269 Speed Focus Group Moderators Guide ,   Speed Focus Group Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Moderators Guide, NHTSA Form 1293 Recruitment Screener ,   NHTSA Form 1294
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1201, NHTSA Form 1202 NVS Tagline & Logo Research-Participant Screener ,   NVS Tagline & Logo Research Discussion Guide for Qualitative Focus Group
CPS Tracking NHTSA Form 1166 CPS Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery NHTSA Form 1179, NHTSA Form 1178, NHTSA Form 1180 NHTSA.gov Usability Study ,   Safercar.gov Usability Study ,   Usability Screener

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 113,582 0 0 113,582 0 0
Annual Time Burden (Hours) 20,204 0 0 20,204 0 0
Annual Cost Burden (Dollars) 135,820 0 0 135,820 0 0
Yes
Miscellaneous Actions
No
This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

$205,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Walter Culbreath 202-366-1566 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/21/2012