Information Collection

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

IC 207809 under ICR 201202-2127-006 · OMB 2127-0682.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1203 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
NHTSA Form 1203 Parent Screener Parent Screener_Under Age Drunk Driving_FINAL_07162013.docx	Form and Instruction
NHTSA Form 1204 Parents Moderators Guide Underage DD Parents Guide_FINAL_07102013.docx	Form and Instruction
NHTSA Form 1205 Underage DDP Screener High School Underage DDP Screener_High School_FINAL_07162013.docx	Form and Instruction
NHTSA Form 1206 Underage DDP Screener Non-High School Underage DDP Screener_NonHS_FINAL_07162013.docx	Form and Instruction
NHTSA Form 1207 Underage DDP Group Discussion Guide Underage DDP Focus Group Discussion Guide_FINAL_07102013.docx	Form and Instruction
NHTSA_Underage DDP_Generic Clearance Submission_FINAL_07102013.doc Underage DDP Fast Track Request	IC Document

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1203	Parent Screener	Parent Screener_Under Age Drunk Driving_FINAL_07162013.docx	No	Fillable Fileable
Form and Instruction	NHTSA Form 1204	Parents Moderators Guide	Underage DD Parents Guide_FINAL_07102013.docx	No	Paper Only
Form and Instruction	NHTSA Form 1205	Underage DDP Screener High School	Underage DDP Screener_High School_FINAL_07162013.docx	No	Fillable Fileable
Form and Instruction	NHTSA Form 1206	Underage DDP Screener Non-High School	Underage DDP Screener_NonHS_FINAL_07162013.docx	No	Fillable Fileable
Form and Instruction	NHTSA Form 1207	Underage DDP Group Discussion Guide	Underage DDP Focus Group Discussion Guide_FINAL_07102013.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 183

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	183	183
Annual IC Time Burden (Hours)	139	139
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Underage DDP Fast Track Request	NHTSA_Underage DDP_Generic Clearance Submission_FINAL_07102013.doc	07/23/2013

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