Information Collection

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

IC 228552 under ICR 201502-2127-002 · OMB 2127-0682.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PRA-2127-0682 NHTSA Fast Track Generic Submission -GMSS Usability Testing 10.3.17.pdf Generic Clearance Request	IC Document
GMSS-APP-402-0002 NHTSA Grant Application - HSP Process.xlsx TEST SCRIPT - GMSS APP 402_0002 HSP Process	IC Document
GMSS-APP-402-0003 NHTSA Grant Application - Performance Report.xlsx TEST SCRIPT - GMSS App 402_0003 Performance Report	IC Document
GMSS-APP-402-0004 NHTSA Grant Application - Performance Plan.xlsx TEST SCRIPT - GMSS App 402_0004 Performance Plan	IC Document
GMSS-APP-402-0005 NHTSA Grant Application - Program Areas.xlsx TEST SCRIPT - GMSS App 402_0005 Program Areas	IC Document
GMSS-APP-402-0006 NHTSA Grant Application - TSEP.XLSX TEST SCRIPT - GMSS App 402_0006 TSEP	IC Document
GMSS-APP-402-0007 NHTSA Grant Application - HVE.XLSX TEST SCRIPT - GMSS App 402_0007 HVE	IC Document
GMSS-APP-405-0002 NHTSA Grant Application - 405b High Use.xlsx TEST SCRIPT - GMSS App 405_0002 405b High Use	IC Document
GMSS-APP-405-0003 NHTSA Grant Application - 405b Low Use.xlsx TEST SCRIPT - GMSS App 405_0003 405b Low Use	IC Document
GMSS-APP-405-0004 NHTSA Grant Application - 405c.xlsx TEST SCRIPT - GMSS App 405_0004 405c	IC Document
GMSS-APP-405-0005 NHTSA Grant Application - 405d Impaired Low Range.xlsx TEST SCRIPT - GMSS App 405_0005 405d Impaired Low Range	IC Document
GMSS-APP-405-0006 NHTSA Grant Application - 405d Impaired Mid Range.xlsx TEST SCRIPT - GMSS App 405_0006 405d Impaired Mid Range	IC Document
GMSS-APP-405-0007 NHTSA Grant Application - 405d Impaired High Range.xlsx TEST SCRIPT - GMSS App 405_0007 405d Impaired High Range	IC Document
GMSS-APP-405-0008 NHTSA Grant Application - 405d Ignition Interlock.xlsx TEST SCRIPT - GMSS App 405_0008 405d Ignition Interlock	IC Document
GMSS-APP-405-0009 NHTSA Grant Application - 405d 24-7 Programs.xlsx TEST SCRIPT - GMSS App 405_0009 405d 24-7 Programs	IC Document
GMSS-APP-405-0010 NHTSA Grant Application - 405e Comprehensive.xlsx TEST SCRIPT - GMSS App 405_0010 405e Comprehensive	IC Document
GMSS-APP-405-0011 NHTSA Grant Application - 405f.xlsx TEST SCRIPT - GMSS App 405_0011 405f	IC Document
GMSS-APP-405-0013 NHTSA Grant Application - 4051.xlsx TEST SCRIPT - GMSS App 405_0013 4051	IC Document
GMSS-APP-405-0014 NHTSA Grant Application - 405h.xlsx TEST SCRIPT - GMSS App 405_0014 405h	IC Document
GMSS-APP-405-0015 NHTSA Grant Application - 1906.xlsx TEST SCRIPT - GMSS App 405_0015 1906	IC Document
GMSS-APP-402-0001 NHTSA Grant Application - Summary Information.xlsx TEST SCRIPT - GMSS App 402_0001 Summary Information	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: 23 CFR 1200

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	520	520
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request	PRA-2127-0682 NHTSA Fast Track Generic Submission -GMSS Usability Testing 10.3.17.pdf	10/04/2017
TEST SCRIPT - GMSS APP 402_0002 HSP Process	GMSS-APP-402-0002 NHTSA Grant Application - HSP Process.xlsx	10/04/2017
TEST SCRIPT - GMSS App 402_0003 Performance Report	GMSS-APP-402-0003 NHTSA Grant Application - Performance Report.xlsx	10/04/2017
TEST SCRIPT - GMSS App 402_0004 Performance Plan	GMSS-APP-402-0004 NHTSA Grant Application - Performance Plan.xlsx	10/04/2017
TEST SCRIPT - GMSS App 402_0005 Program Areas	GMSS-APP-402-0005 NHTSA Grant Application - Program Areas.xlsx	10/04/2017
TEST SCRIPT - GMSS App 402_0006 TSEP	GMSS-APP-402-0006 NHTSA Grant Application - TSEP.XLSX	10/04/2017
TEST SCRIPT - GMSS App 402_0007 HVE	GMSS-APP-402-0007 NHTSA Grant Application - HVE.XLSX	10/04/2017
TEST SCRIPT - GMSS App 405_0002 405b High Use	GMSS-APP-405-0002 NHTSA Grant Application - 405b High Use.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0003 405b Low Use	GMSS-APP-405-0003 NHTSA Grant Application - 405b Low Use.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0004 405c	GMSS-APP-405-0004 NHTSA Grant Application - 405c.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0005 405d Impaired Low Range	GMSS-APP-405-0005 NHTSA Grant Application - 405d Impaired Low Range.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0006 405d Impaired Mid Range	GMSS-APP-405-0006 NHTSA Grant Application - 405d Impaired Mid Range.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0007 405d Impaired High Range	GMSS-APP-405-0007 NHTSA Grant Application - 405d Impaired High Range.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0008 405d Ignition Interlock	GMSS-APP-405-0008 NHTSA Grant Application - 405d Ignition Interlock.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0009 405d 24-7 Programs	GMSS-APP-405-0009 NHTSA Grant Application - 405d 24-7 Programs.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0010 405e Comprehensive	GMSS-APP-405-0010 NHTSA Grant Application - 405e Comprehensive.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0011 405f	GMSS-APP-405-0011 NHTSA Grant Application - 405f.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0013 4051	GMSS-APP-405-0013 NHTSA Grant Application - 4051.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0014 405h	GMSS-APP-405-0014 NHTSA Grant Application - 405h.xlsx	10/04/2017
TEST SCRIPT - GMSS App 405_0015 1906	GMSS-APP-405-0015 NHTSA Grant Application - 1906.xlsx	10/04/2017
TEST SCRIPT - GMSS App 402_0001 Summary Information	GMSS-APP-402-0001 NHTSA Grant Application - Summary Information.xlsx	10/04/2017

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