Information Collection

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

IC 212640 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⚠️ Notice: This information collection may be referencing outdated material.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 1269 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
NHTSA 1269 Speed Focus Group Moderators Guide Speed FG Mod Guide 072514.doc	Form and Instruction
NHTSA Form 1268 Speed Focus Group Screener Speed FG Screeners 052814.docx	Form
Speed Focus Groups Generic Clearance 072914.doc Speed Focus Group Generic Clearance 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 and Instruction	NHTSA 1269	Speed Focus Group Moderators Guide	Speed FG Mod Guide 072514.doc		No		Fillable Printable
Form	NHTSA Form 1268	Speed Focus Group Screener	Speed FG Screeners 052814.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

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	96	96
Annual IC Time Burden (Hours)	148	148
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Speed Focus Group Generic Clearance Request	Speed Focus Groups Generic Clearance 072914.doc	08/12/2014

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