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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1178 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1178 NHTSA.gov Usability Study NHTSA gov Usability Guide 10-15-12.docx Form and Instruction
NHTSA Form 1179 Safercar.gov Usability Study SaferCar gov Usability Guide 10-15-12.docx Form and Instruction
NHTSA Form 1180 Usability Screener Usability Screener - 10-15-12.docx Form
NHTSA gov Usability Study_Fast Track Generic Clearance Submission.doc Usability Study for NHTSA.gov Program IC Document
SaferCar gov Usability Study_Fast Track Generic Clearance Submission.doc Usability Study for Safercar.gov Program IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1178	NHTSA.gov Usability Study	NHTSA gov Usability Guide 10-15-12.docx	No	Paper Only
Form and Instruction	NHTSA Form 1179	Safercar.gov Usability Study	SaferCar gov Usability Guide 10-15-12.docx	No	Paper Only
Form	NHTSA Form 1180	Usability Screener	Usability Screener - 10-15-12.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Usability Study for NHTSA.gov Program	NHTSA gov Usability Study_Fast Track Generic Clearance Submission.doc	10/18/2012
Usability Study for Safercar.gov Program	SaferCar gov Usability Study_Fast Track Generic Clearance Submission.doc	10/18/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.