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⚠️ Notice: This information collection may be referencing outdated material.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 1363 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1363 Drugged Driver Recruitment Screener Drugged Driving2 Screener 072916_FINAL.docx Form
NHTSA Form 1364 Drugged Driving Moderators Guide Drugged Driving2 mod guide 081116_FINAL.doc Form
Drugged Driving Generic Clearance2 081716R_FINAL.docx Generic Clearance Request IC Document
Drugged Driving Revised Concepts.pdf Drugged Driving Concepts 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 1363	Drugged Driver Recruitment Screener	Drugged Driving2 Screener 072916_FINAL.docx		No		Fillable Fileable
Form	NHTSA Form 1364	Drugged Driving Moderators Guide	Drugged Driving2 mod guide 081116_FINAL.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	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	90	90
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	Drugged Driving Generic Clearance2 081716R_FINAL.docx	08/18/2016
Drugged Driving Concepts	Drugged Driving Revised Concepts.pdf	08/18/2016

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