Information Collection

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

IC 218738 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⚠️ Notice: This information collection may be referencing outdated material.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 1213 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1213 Recruitment Screener - Branding Positioning NHTSA UDDP Screener _10212015_FINAL.doc	Form
NHTSA Form 1313 Moderators Guide - Branding Positioning NHTSA UDDP Moderator Guide_10212015_FINAL.doc	Form and Instruction
Request for Approval_2015_10_15_FINAL.doc Generic Clearance Request	IC Document
NHTSA Logo Studies 9-3 Selects.pdf NHTSA Logo Studies	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 1213	Recruitment Screener - Branding Positioning	NHTSA UDDP Screener _10212015_FINAL.doc		No		Fillable Fileable
Form and Instruction	NHTSA Form 1313	Moderators Guide - Branding Positioning	NHTSA UDDP Moderator Guide_10212015_FINAL.doc		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 144

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	144	144
Annual IC Time Burden (Hours)	156	156
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request	Request for Approval_2015_10_15_FINAL.doc	10/27/2015
NHTSA Logo Studies	NHTSA Logo Studies 9-3 Selects.pdf	10/27/2015

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