Information Collection

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

IC 230313 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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 Pointâ¢ 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.