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⚠️ Notice: This information collection may be referencing outdated material.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 1208 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1208 Parent Screener Parent Screener in English_072513_EG.docx Form
NHTSA Form 1209 Parent Discussion Guide Parent Discussion Guide_072513_EG.docx Form and Instruction
NHTSA Form 1210 Tween Screener Tween Screener_072513_EG.docx Form
NHTSA Form 1211 Tween Discussion Guide Tween Discussion Guide_072513_EG.docx Form and Instruction
NHTSA Form 1213 Parent Screener - Spanish Parent Screener Spanish 072513_EG.docx Form
NHTSA Form 1214 Parent Discussion Guide-Spanish Parent Discussion Guide Spanish 072513_EG.docx Form and Instruction
NHTSA Tween Passenger Safety Generic Clearance_072313.doc NHTSA Tween Passenger Safety Generic Clearance 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	NHTSA Form 1208	Parent Screener	Parent Screener in English_072513_EG.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1209	Parent Discussion Guide	Parent Discussion Guide_072513_EG.docx	No	Fillable Printable
Form	NHTSA Form 1210	Tween Screener	Tween Screener_072513_EG.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1211	Tween Discussion Guide	Tween Discussion Guide_072513_EG.docx	No	Fillable Printable
Form	NHTSA Form 1213	Parent Screener - Spanish	Parent Screener Spanish 072513_EG.docx	No	Fillable Printable
Form and Instruction	NHTSA Form 1214	Parent Discussion Guide-Spanish	Parent Discussion Guide Spanish 072513_EG.docx	No	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 158	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	158	158
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NHTSA Tween Passenger Safety Generic Clearance	NHTSA Tween Passenger Safety Generic Clearance_072313.doc	08/02/2013

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