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⚠️ Notice: This information collection may be referencing outdated material.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 1431 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1431 Recruitment Screener - Parent and Caretaker Family Room Recruitment Screener_2.27.18_revised.docx Form and Instruction
NHTSA Form 1432 Child Passenger Safety Discussion Guide Child Passenger Safety Discussion Guide 2_15_18 v_7.docx Form and Instruction
Passenger Safety Narratives 2_1_18 updated v_3.pdf Passenger Safety Narratives IC Document
Passion Point™ Playing Cards.pdf Passion Point Playing Cards IC Document
NHTSA Child Occupant Portfolio Generic Clearance.docx NHTSA Child Occupant Portfolio 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 1431	Recruitment Screener - Parent and Caretaker	Family Room Recruitment Screener_2.27.18_revised.docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1432	Child Passenger Safety Discussion Guide	Child Passenger Safety Discussion Guide 2_15_18 v_7.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 96	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	96	96
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Passenger Safety Narratives	Passenger Safety Narratives 2_1_18 updated v_3.pdf	03/01/2018
Passion Point Playing Cards	Passion Point™ Playing Cards.pdf	03/01/2018
NHTSA Child Occupant Portfolio Generic Clearance	NHTSA Child Occupant Portfolio Generic Clearance.docx	03/01/2018

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