Information Collection

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

IC 208023 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.