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⚠️ Notice: This information collection may be referencing outdated material.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 1433 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1433 CIOT Recruitment Screener 2018 ClickIt Recruiting Screener - FINAL.doc Form and Instruction
NHTSA Form 1434 CIOT Moderators Guide 2018 ClickIt Moderators Guide - FINAL.doc Form and Instruction
No Good Excuse script CONCEPT A - 2-15-2018.docx No Good Excuse Script - Concept A IC Document
Officer Mom script CONCEPT B - 2-15-2018.pdf Officer Mom Script - Concept B IC Document
Surprise Ending script CONCEPT C - 2-15-2018.pdf Surprise Ending Script - Concept C IC Document
The Search script CONCEPT D - 2-15-2018.docx The Search Script - Concept D IC Document
CIOT Generic Clearance Request.docx CIOT Generic Clearance 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 and Instruction	NHTSA Form 1433	CIOT Recruitment Screener	2018 ClickIt Recruiting Screener - FINAL.doc		No		Paper Only
Form and Instruction	NHTSA Form 1434	CIOT Moderators Guide	2018 ClickIt Moderators Guide - FINAL.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	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	48	48
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No Good Excuse Script - Concept A	No Good Excuse script CONCEPT A - 2-15-2018.docx	02/20/2018
Officer Mom Script - Concept B	Officer Mom script CONCEPT B - 2-15-2018.pdf	02/20/2018
Surprise Ending Script - Concept C	Surprise Ending script CONCEPT C - 2-15-2018.pdf	02/20/2018
The Search Script - Concept D	The Search script CONCEPT D - 2-15-2018.docx	02/20/2018
CIOT Generic Clearance	CIOT Generic Clearance Request.docx	02/20/2018

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