Information Collection

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

IC 222345 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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	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	Moderatorâs 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 %

table that charts list of burden
	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

table that charts IC Documents
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.