Information Collection

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

IC 220546 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⚠️ Notice: This information collection may be referencing outdated material.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 1349 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1349 Mayors Challenge for Safer People and Safer Streets Surv Mayors Challenge Survey Questions_Updated_HB_030916_Rev.docx	Form
Mayors_Challenge_Fast_Track_updated_HB_030916.doc Fast Track 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 1349	Mayors Challenge for Safer People and Safer Streets Survey	Mayors Challenge Survey Questions_Updated_HB_030916_Rev.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 260

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	260	260
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Request	Mayors_Challenge_Fast_Track_updated_HB_030916.doc	03/10/2016

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