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⚠️ Notice: This information collection may be referencing outdated material.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 1367 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1367 Recruitment Screener for Focus Groups Drugged Driving3 Screener 100316_Final.docx Form
NHTSA Form 1368 Moderator's Guide for Fcous Groups Drugged Driving3 mod guide 101216_Final.doc Form and Instruction
Drugged Driving Generic Clearance3 100316 Final 10192016.docx Drugged Driving Cleaance3 IC Document
Drugged Driving Scripts 10.6.docx Drugged Driving Scripts 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 1367	Recruitment Screener for Focus Groups	Drugged Driving3 Screener 100316_Final.docx		No		Paper Only
Form and Instruction	NHTSA Form 1368	Moderator's Guide for Fcous Groups	Drugged Driving3 mod guide 101216_Final.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	60	60
Annual IC Time Burden (Hours)	66	66
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Drugged Driving Cleaance3	Drugged Driving Generic Clearance3 100316 Final 10192016.docx	10/19/2016
Drugged Driving Scripts	Drugged Driving Scripts 10.6.docx	10/19/2016

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