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⚠️ Notice: This information collection may be referencing outdated material.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 1360 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1360 Recruitment SCreener for Focus Groups: Students FINAL Drowsy Driving Screener Students.docx Form
NHTSA Form 1361 Recruitment Screener for Focus Groups: Night Shift Worke FINAL Drowsy Driving Screener ShiftWorkers.docx Form
NHTSA Form 1362 Moderator’s Guide for Focus Groups FINAL Drowsy Driving mod guide.docx Form
FINAL Drowsy Driving Generic Clearance.docx Generic Clearance Request 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	Available Electronically?	Electronic Capability
Form	NHTSA Form 1360	Recruitment SCreener for Focus Groups: Students	FINAL Drowsy Driving Screener Students.docx	No	Fillable Printable
Form	NHTSA Form 1361	Recruitment Screener for Focus Groups: Night Shift Workers	FINAL Drowsy Driving Screener ShiftWorkers.docx	No	Fillable Printable
Form	NHTSA Form 1362	Moderator’s Guide for Focus Groups	FINAL Drowsy Driving mod guide.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 104	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	104	104
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	FINAL Drowsy Driving Generic Clearance.docx	07/06/2016

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