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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 212640
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201202-2127-006
IC 212640
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:
2022-05-05 - Reinstatement without change of a previously approved collection
2018-04-28 - Extension without change of a currently approved collection
Documents and Forms
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
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 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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
96
0
96
0
0
0
Annual IC Time Burden (Hours)
148
0
148
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.