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⚠️ Notice: This information collection may be referencing outdated material.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 1413 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1413 Drunk Driver Concepts Screener 2017 Drunk Driving Concepts Screener Aug2 (003).doc Form
NHTSA Form 1414 Drunk Driving Moderators Guide 2017 Drunk Driving mod guide (003) sm.doc Form and Instruction
2017 Drunk Driving Generic Clearance.docx 2017 Drunk Driving Generic Clearance IC Document
Scripts to Test.docx Scripts 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 1413	Drunk Driver Concepts Screener	2017 Drunk Driving Concepts Screener Aug2 (003).doc		No		Fillable Fileable
Form and Instruction	NHTSA Form 1414	Drunk Driving Moderators Guide	2017 Drunk Driving mod guide (003) sm.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 104	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	104	104
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Drunk Driving Generic Clearance	2017 Drunk Driving Generic Clearance.docx	08/22/2017
Scripts	Scripts to Test.docx	08/22/2017

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