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⚠️ Notice: This information collection may be referencing outdated material.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 1437 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1437 CIOT Screener Spanish-Reliant CIOT Screener Spanish-Reliant 030618.docx Form
NHTSA Form 1438 CIOT Moderators Guide Spanish-Reliant CIOT Moderators guide Spanish reliant 030718 (003).doc Form and Instruction
NHTSA CIOT Hispanic 2018 Creative Deck Select Concepts.pdf CIOT Creative Concept IC Document
2018 ClickIt Spanish Generic Clearance FINAL.docx Generic Clearance Request 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 1437	CIOT Screener Spanish-Reliant	CIOT Screener Spanish-Reliant 030618.docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1438	CIOT Moderators Guide Spanish-Reliant	CIOT Moderators guide Spanish reliant 030718 (003).doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	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	120	120
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CIOT Creative Concept	NHTSA CIOT Hispanic 2018 Creative Deck Select Concepts.pdf	03/20/2018
Generic Clearance Request	2018 ClickIt Spanish Generic Clearance FINAL.docx	03/20/2018

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