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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 218738
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201502-2127-002
IC 218738
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:
2022-05-05 - Reinstatement without change of a previously approved collection
2018-04-28 - Extension without change of a currently approved collection
Documents and Forms
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
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 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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
144
0
144
0
0
0
Annual IC Time Burden (Hours)
156
0
156
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.