Information Collection

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

IC 210440 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⚠️ Notice: This information collection may be referencing outdated material.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 1247 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1247 Tagline Assessment Screener Fast Track_Tagline Assessment Screener_SMcMeen 02102014.docx	Form
NHTSA Form 1248 Tagline Assessment Survey Fast Track_Tagline Assessment Survey_SMcMeen 02142014.docx	Form and Instruction
FastTrack Request_Tagline Assessment_SMcMeen 02102014.docx 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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NHTSA Form 1247	Tagline Assessment Screener	Fast Track_Tagline Assessment Screener_SMcMeen 02102014.docx		No		Fillable Printable
Form and Instruction	NHTSA Form 1248	Tagline Assessment Survey	Fast Track_Tagline Assessment Survey_SMcMeen 02142014.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	87	87
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request	FastTrack Request_Tagline Assessment_SMcMeen 02102014.docx	02/21/2014

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