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⚠️ Notice: This information collection may be referencing outdated material.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 1383 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1383 DBE Questionnaire OST File_DBE Questionnaire_11302016.docx Form
updated fast-track-PRA-submission-short-form.doc Generic Clearance Request IC Document
US DOT DBE Summit 2016- Name Badges 427pm.xlsx DBE Name Badge Listing IC Document
DBE Summit Agenda (Final).docx DBE Summit Agenda 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 1383	DBE Questionnaire	OST File_DBE Questionnaire_11302016.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 320	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	320	320
Annual IC Time Burden (Hours)	320	320
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	updated fast-track-PRA-submission-short-form.doc	12/01/2016
DBE Name Badge Listing	US DOT DBE Summit 2016- Name Badges 427pm.xlsx	12/01/2016
DBE Summit Agenda	DBE Summit Agenda (Final).docx	12/01/2016

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