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⚠️ Notice: This information collection may be referencing outdated material.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

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 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 %

	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

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.