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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:

Documents and Forms

Document Name Document Type
Form NHTSA Form 1358 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1358 Recruitment Screener Rail Xing Screener 051816_Final.docx Form
NHTSA Form 1359 Moderator's guide Rail Xing mod guide 051816_Final.doc Form and Instruction
Rail Xing Generic Clearance 050516_Final.docx Taglines and Concepts Supporting a National Awareness Campaign to Reduce Fatalities at Railroad Crossings 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 1358	Recruitment Screener	Rail Xing Screener 051816_Final.docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1359	Moderator's guide	Rail Xing mod guide 051816_Final.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 96	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	124	124
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Taglines and Concepts Supporting a National Awareness Campaign to Reduce Fatalities at Railroad Crossings	Rail Xing Generic Clearance 050516_Final.docx	06/16/2016

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