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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 227083
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201502-2127-002
IC 227083
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:
2022-05-05 - Reinstatement without change of a previously approved collection
2018-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1406
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Form
NHTSA Form 1406 Drugged Driver Recruitment Sceener
Drugged Driving Screener 051217.docx
Form
NHTSA Form 1407 Drugged Driving Mod Guide
Drugged Driving mod guide 053017Rev.doc
Form and Instruction
Drugged Driving 2 Generic Clearance 05312017Rev.docx
Generic Clearance Request
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 1406
Drugged Driver Recruitment Sceener
Drugged Driving Screener 051217.docx
Yes
No
Fillable Printable
Form and Instruction
NHTSA Form 1407
Drugged Driving Mod Guide
Drugged Driving mod guide 053017Rev.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Air Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
90
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
90
0
90
0
0
0
Annual IC Time Burden (Hours)
99
0
99
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Clearance Request
Drugged Driving 2 Generic Clearance 05312017Rev.docx
06/02/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.