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⚠️ Notice: This information collection may be referencing outdated material.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 1271 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1271 NHTSA UDDP Comm Checks Moderators Guide NHTSA UDDP Comm Checks Moderators Guide_FINAL_KH.docx Form and Instruction
NHTSA Form 1270 NHTSA UDDP Screener NHTSA UDDP Screener_FINAL_KH sm (3).docx Form
NHTSA UDDP Fast Track Clearance Request Comm Checks_081214_KH_04162015.docx Genereic Clearance Request IC Document
Storyboard Version for OMB Submission_KH_04162015.pdf Storyboard - Creature 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 Form 1271	NHTSA UDDP Comm Checks Moderators Guide	NHTSA UDDP Comm Checks Moderators Guide_FINAL_KH.docx		No		Paper Only
Form	NHTSA Form 1270	NHTSA UDDP Screener	NHTSA UDDP Screener_FINAL_KH sm (3).docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	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	48	48
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Genereic Clearance Request	NHTSA UDDP Fast Track Clearance Request Comm Checks_081214_KH_04162015.docx	04/16/2015
Storyboard - Creature	Storyboard Version for OMB Submission_KH_04162015.pdf	04/16/2015

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