Information Collection

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

IC 217766 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⚠️ Notice: This information collection may be referencing outdated material.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 1272 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1272 Survey for Child Passenger Safety Child Passenger Safety_GM_Survey_Wave 4_2015 080415_EN Final.docx	Form
FastTrackClearanceRequest_Child Passenger Safety_Online_Survey_2015 080415_EN Final.docx 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	NHTSA Form 1272	Survey for Child Passenger Safety	Child Passenger Safety_GM_Survey_Wave 4_2015 080415_EN Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	242	242
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request	FastTrackClearanceRequest_Child Passenger Safety_Online_Survey_2015 080415_EN Final.docx	08/04/2015

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