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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: 227881
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201502-2127-002
IC 227881
( )
⚠️ Notice: This information collection may be referencing outdated material.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 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
URL
Available Electronically?
Can Be Submitted 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
Federal Enterprise Architecture Business Reference Module
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 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
240
0
240
0
0
0
Annual IC Time Burden (Hours)
93
0
93
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.