Information Collection

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

IC 216653 under ICR 201502-2127-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 1298 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1298 Child Passenger Safety Recruit Screener 5 20 recruit screen Child Passenger Safety_Final .docx	Form
NHTSA Form 1299 Child Passenger Safety Moderators Guide 5 20 mod guide Child Passenger Safety Hispanic_Final.docx	Form and Instruction
CPS 2015_HISPANIC CREATIVE for OMB.pdf CPS 2015_Hispanic Creative	IC Document
Fast Track Clearance Request_Child Passenger Safety 2015 Hispanic.docx Child Passenger Safety Fast Track 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	NHTSA Form 1298	Child Passenger Safety Recruit Screener	5 20 recruit screen Child Passenger Safety_Final .docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1299	Child Passenger Safety Moderators Guide	5 20 mod guide Child Passenger Safety Hispanic_Final.docx		No		Paper Only

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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
CPS 2015_Hispanic Creative	CPS 2015_HISPANIC CREATIVE for OMB.pdf	05/20/2015
Child Passenger Safety Fast Track Clearance Request	Fast Track Clearance Request_Child Passenger Safety 2015 Hispanic.docx	05/20/2015

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