Information Collection

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

IC 224448 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⚠️ Notice: This information collection may be referencing outdated material.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 1380 Speed Moderators Guide A Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
Form NHTSA Form 1381 Speed MOderators Guide B Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
Form NHTSA Form 1379 Speed Screener Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
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

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.	Available Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1380	No	Paper Only
Form and Instruction	NHTSA Form 1381	No	Paper Only
Form	NHTSA Form 1379	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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request		11/16/2016
2016 Speed Awareness Storyboards		11/16/2016

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

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