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⚠️ Notice: This information collection may be referencing outdated material.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 1380 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1380 Speed Moderators Guide A Speed FG Mod Guide A 110216.doc Form and Instruction
NHTSA Form 1381 Speed MOderators Guide B Speed FG Mod Guide B 110216.docx Form and Instruction
NHTSA Form 1379 Speed Screener Speed FG Screener 110216.docx Form
Speed FG Generic Clearance 110216.docx Generic Clearance Request IC Document
2016 Speed Awareness Storyboards.docx 2016 Speed Awareness Storyboards 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 and Instruction	NHTSA Form 1380	Speed Moderators Guide A	Speed FG Mod Guide A 110216.doc	No	Paper Only
Form and Instruction	NHTSA Form 1381	Speed MOderators Guide B	Speed FG Mod Guide B 110216.docx	No	Paper Only
Form	NHTSA Form 1379	Speed Screener	Speed FG Screener 110216.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	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	48	48
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	Speed FG Generic Clearance 110216.docx	11/16/2016
2016 Speed Awareness Storyboards	2016 Speed Awareness Storyboards.docx	11/16/2016

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