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⚠️ Notice: This information collection may be referencing outdated material.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 1403 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1403 Informed Consent Informed Consent_KW.docx Form
NHTSA Form 1404 Motorcycle Recruitment Screener Motorcycle Focus Groups Recruitment Screener.docx Form
NHTSA Form 1405 Motorcycle Focus Group Moderators Guide Focus Group Moderator Guide_clean copy 04-13-17_KW.docx Form and Instruction
8914.06 Recruitment Ad Text_KW.docx Recruitment Ad Text IC Document
Form A-Typical riding gear 03-13-17.docx Moderators Guide Handout - Form A IC Document
Form B- Factors in choosing gear 04-11-2017.docx Moderators Guide Handout - Form B IC Document
Form C -Factors in purchasing motorcycle gear .docx Moderators Guide Handout - Form C IC Document
NHTSA Fast Track Motorcycle Focus Group 2017.docx Generic Clearance Request IC Document
Example Study confirmation letter_KW.docx Example Study Confirmation Letter 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	NHTSA Form 1403	Informed Consent	Informed Consent_KW.docx	No	Paper Only
Form	NHTSA Form 1404	Motorcycle Recruitment Screener	Motorcycle Focus Groups Recruitment Screener.docx	No	Paper Only
Form and Instruction	NHTSA Form 1405	Motorcycle Focus Group Moderators Guide	Focus Group Moderator Guide_clean copy 04-13-17_KW.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	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	180	180
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Ad Text	8914.06 Recruitment Ad Text_KW.docx	05/31/2017
Moderators Guide Handout - Form A	Form A-Typical riding gear 03-13-17.docx	05/31/2017
Moderators Guide Handout - Form B	Form B- Factors in choosing gear 04-11-2017.docx	05/31/2017
Moderators Guide Handout - Form C	Form C -Factors in purchasing motorcycle gear .docx	05/31/2017
Generic Clearance Request	NHTSA Fast Track Motorcycle Focus Group 2017.docx	05/31/2017
Example Study Confirmation Letter	Example Study confirmation letter_KW.docx	05/31/2017

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