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⚠️ Notice: This information collection may be referencing outdated material.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 1297 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1297 Recruitment Screener 2_5_2015_Screener_FINAL_LM[1].docx Form
NHTSA Form 1298 Moderators Guide 2_5_2015_Discussion_Moderator_Guide_FINAL_LM[1].docx Form
2_5_2015_final_promod_approved_Texting_Comm_Check_Submission_LM[1].docx Generic ICR 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 1297	Recruitment Screener	2_5_2015_Screener_FINAL_LM[1].docx		No		Fillable Printable
Form	NHTSA Form 1298	Moderators Guide	2_5_2015_Discussion_Moderator_Guide_FINAL_LM[1].docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	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	900	900
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic ICR Fast Track Request	2_5_2015_final_promod_approved_Texting_Comm_Check_Submission_LM[1].docx	04/03/2015

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