OMB
.report
Search
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 206016
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201202-2127-006
IC 206016
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:
2022-05-05 - Reinstatement without change of a previously approved collection
2018-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1187
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Form
NHTSA Form 1187 Screener Guide for Community Participants Focus Group Re
Screener Guide for Community Participants Focus Group Recruitment-2-27-2013.doc
Form
NHTSA Form 1191 Moderators Guide-Community Participants
Moderators Guide-Community Participants-2-27-2013.doc
Form
NHTSA Form 1188 Screener Guide for Community Service Delivery Organizati
Screener Guide for Community Service Delivery Organizations Focus Group Recruitment-2-27-2013.doc
Form
NHTSA Form 1192 Moderators Guide Community Service Delivery Organization
Moderators Guide Community Service Delivery Organizations-2-27-2013.doc
Form
NHTSA Form 1189 Screener Guide for Law Enforcement Focus Group Recruitme
Screener Guide for Law Enforcement Focus Group Recruitment-2-27-2013.doc
Form
NHTSA Form 1193 Moderators Guide Law Enforcement
Moderators Guide Law Enforcement-2-27-2013.doc
Form
NHTSA Form 1190 Screener Guide for Tool Kit Review Focus Group Community
Screener Guide for Tool Kit Review Focus Groups-Community Pariticipants-2-27-2013.docx
Form
NHTSA Form 1194 Moderators Guide Tool Kit Community Participants
Moderators Guide Toolkit Review-Community Participants-2-27-2013.doc
Form
OMB Clearance Request Fast Track (7)-Feb152013.docx
OMB Clearance Request Fast Track
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NHTSA Form 1187
Screener Guide for Community Participants Focus Group Recruitmet
Screener Guide for Community Participants Focus Group Recruitment-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1191
Moderators Guide-Community Participants
Moderators Guide-Community Participants-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1188
Screener Guide for Community Service Delivery Organizations Focus Group Recruitment
Screener Guide for Community Service Delivery Organizations Focus Group Recruitment-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1192
Moderators Guide Community Service Delivery Organizations
Moderators Guide Community Service Delivery Organizations-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1189
Screener Guide for Law Enforcement Focus Group Recruitment
Screener Guide for Law Enforcement Focus Group Recruitment-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1193
Moderators Guide Law Enforcement
Moderators Guide Law Enforcement-2-27-2013.doc
No
Paper Only
Form
NHTSA Form 1190
Screener Guide for Tool Kit Review Focus Group Community Participants
Screener Guide for Tool Kit Review Focus Groups-Community Pariticipants-2-27-2013.docx
No
Paper Only
Form
NHTSA Form 1194
Moderators Guide Tool Kit Community Participants
Moderators Guide Toolkit Review-Community Participants-2-27-2013.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
216
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
216
0
216
0
0
0
Annual IC Time Burden (Hours)
244
0
244
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Clearance Request Fast Track
OMB Clearance Request Fast Track (7)-Feb152013.docx
03/04/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.