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⚠️ Notice: This information collection may be referencing outdated material.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 1410 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1410 NHTSA Autonomus Vehicles Focus Group Screener AV Focus Groups Screener_2017-08-10.doc Form
NHTSA Form 1411 NHTSA Autonomus Vehicles Discussion Guide Autonomous Driving Guide Outline_2017-08-10.docx Form and Instruction
NHTSA Form 1412 Autonomus Driving Workbook Autonomous Driving Workbook_2017-08-10.docx Form
Appendix - Image Collateral Review_2017-08-10_v.docx Appendix - Image Collateral Review IC Document
NHTSA Generic Clearance Submission_NCAP Autonomous Vehicle Acceptance Research_2017-08-10.doc Generic Clearance Submission 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 1410	NHTSA Autonomus Vehicles Focus Group Screener	AV Focus Groups Screener_2017-08-10.doc	No	Fillable Fileable
Form and Instruction	NHTSA Form 1411	NHTSA Autonomus Vehicles Discussion Guide	Autonomous Driving Guide Outline_2017-08-10.docx	No	Paper Only
Form	NHTSA Form 1412	Autonomus Driving Workbook	Autonomous Driving Workbook_2017-08-10.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	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	240	240
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix - Image Collateral Review	Appendix - Image Collateral Review_2017-08-10_v.docx	08/10/2017
Generic Clearance Submission	NHTSA Generic Clearance Submission_NCAP Autonomous Vehicle Acceptance Research_2017-08-10.doc	08/10/2017

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