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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 1623 ADAS Concept Testing Dicussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1622 ADASConcept Testing Screener	Form	New	Repair queued
Form NHTSA Form 1620 Qualitative Feedback on Spanish-Language Ad Concepts For Office Of Defects Investigation Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1619 QUALITATIVE FEEDBACK ON HISPANIC AD CONCEPTS FOR OFFICE OF DEFECTS INVESTIGATION SCREENER ONLINE DISCUSSION BOARD	Form	New	Repair queued
Form NHTSA Form 1610 NHTSA - Rear Seat Belt Exploratory Research - Screener	Form	New	Repair queued
Form NHTSA Form 1611 NHTSA - Rear Seat Belt Exploratory Research - Discussion Guide	Form	New	Repair queued
Form NHTSA Form 1608 Drive Sober Concept Testing - Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1607 Driver Sober COncept Testing - Screener	Form	New	Repair queued
Form NHTSA Form 1606 Click It of Ticket Exploratory Research Online Focus Group Recruiting Screener	Form	New	Repair queued
Form NHTSA Form 1605 Click It or Ticket Exploratory Research Online Focus Group Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1603 NHTSA Drug Impaired Focus Group Moderators Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1602 NHTSA Drug Imoaired Focus Group Screener	Form	New	Repair queued
Form NHTSA Form 1595 Motorcycle Impairment - Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1594 Motorcycle Impairment - Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1592 Heatstroke Discussion Guide - Hispanic	Form and Instruction	New	Repair queued
Form NHTSA 1592 Heatstroke Screener - Hispanic	Form and Instruction	New	Repair queued
Form NHTA Form 1590 Heatstroke Discussion Guide - English	Form and Instruction	New	Repair queued
Form NHTSA Form 1590 Heatstroke Screener - English	Form and Instruction	New	Repair queued
Form NHTSA Form 1436 Moderators Guide	Form	New	Repair queued
Form NHTSA Form 1306 Onlne Study Screener - Spanish	Form	New	Repair queued
Form NHTSA Form 1436 Moderator’s Guide	Form	New	Repair queued
Form NHTSA Form 1306 Online Study Screener	Form	New	Repair queued
Form NHTSA Form 1585 Texing and Driving	Form	New	Available
Form NHTSA Form 1584 Texting and Driver Screener	Form	New	Available
Form NHTSA Form 1272 Tween Seat Belt Safety Online Survey	Form	New	Available
Form NHTSA Form 1512 Child Passenger Safety Wave	Form	New	Available
Form NHTSA Form 1575 NHTSA Phase 2 OBB Discussion Guide	Form	New	Available
Form NHTSA Form 1574 NHTSA Phase 2 OBB Screener	Form	New	Available
Form NHTSA Form 1543 Recruitment Screener - Spanish	Form	New	Available
Form NHTSA Form 1542 Recruitment Screener	Form	New	Available
Form NHTSA Form 1541 Discussion Guide - Spanish	Form and Instruction	New	Available
Form NHTSA Form 1540 Discusssion Guide	Form and Instruction	New	Available
Form NHTSA Form 1537 CIOT Discussion Guide	Form and Instruction	New	Available
Form NHTSA Form 1536 CIOT Screener	Form	New	Available
Form NHTSA Form 1535 ODI Air Bag Creative Testing - Discussion Guide	Form and Instruction	New	Available
Form NHTSA Form 1534 ODI Air Bag Recall Creative Testing - Screener	Form	New	Available
Form NHTSA Form 1533 ODI Recall Creative Testing OMB Discussion Guide	Form and Instruction	New	Available
Form NHTSA Form 1532 ODI Recall Creative Testing OBB Screener	Form	New	Available
Form NHTSA Form 1531 ADS Consumer Education Research FG Workbook	Form	New	Available
Form NHTSA Form 1530 ADS Consumer EducationResearch FG Discussion Guide	Form and Instruction	New	Available
Form NHTSA Fomr 1529 ADS Consumer Education Research FG Screener	Form	New	Available
Form NHTSA Form 1521 NHTSA Comm Check Moderators Guide	Form and Instruction	New	Available
Form NHTSA Form 1520 NHTSA Comm Check Screener	Form	New	Available
Form nhtsa fORM 1519 Distracted Driving Screener 08052019 SPANISH BACK TRANSLATION	Form	New	Available
Form NHTSA Form 1518 Distracted Driving Mod Guide 08052019 GENERAL MARKET AND SPANISH BACK TRANSLATION	Form and Instruction	New	Available
Form NHTSA Form 1517 Distracted Driving Mod Guide 08052019 SPANISH	Form and Instruction	New	Available
Form NHTSA Form 1516 Distracted Driving Screener 08052019 SPANISH (002).docx	Form	New	Available
Form NHTSA Form 1515 Distracted Driving Screener 08052019 GENERAL MARKET	Form	New	Available
Form NHTSA Form 1512 Child Passenger Safety Wave	Form	New	Available
Form NHTSA Form 1306 Online Study Screener	Form	New	Available
Form NHTSA Form 1436 Online Survey Questions	Form	New	Available
Form NHTSA Form 1500 ODI Recall Communications OBB Screener Takata_FINAL_2019-04-22	Form	New	Available
Form NHTSA Form 1499 ODI Recall Communications OBB Screener Hispanic	Form	New	Available
Form NHTSA Form 1498 ODI Recall Communications OBB Screener GenPop	Form	New	Available
Form NHTSA Form 1501 ODI Recall Communications OBB Discussion Guide	Form	New	Available
Form NHTSA Form 1488 PRG Screner for Recruiting	Form	New	Available
Form NHTSA Form 1487 PRG Community Member Focus Group Moderator's Guide	Form and Instruction	New	Available
Form NHTSA Form 1491 Drugged Driving Moderators Guide	Form and Instruction	New	Available
Form NHTSA Form 1490 Drugged Driving Recruiting Screener	Form and Instruction	New	Available
Form NHTSA Form 1485 Drug Impaired Drving Survey	Form	New	Available
Form NHTSA Form 1489 DOT Transportation.gov 2019 Survey	Form	New	Available
Form NHTSA Form 1486 Drug Impaired Moderators Guide	Form and Instruction	New	Available
Form NHTSA Form 1485 Drug Impaired Driving Screener	Form	New	Available
Form NHTSA Form 1384 Impaired Driving Survey	Form and Instruction	New	Available
Form NHTSA Form 1480 Moderators Guide	Form and Instruction	New	Available
Form NHTSA Form 1479 Recruitment Screener	Form and Instruction	New	Available
Form NHTSA Form 1477 Drugged Driving Moderators Guide - Spanish	Form and Instruction	New	Available
Form NHTSA Form 1467 Drugged Driving Screener - Spanish	Form	New	Available
PRA-2127-0682_NHTSA_Fast_Track_Generic_Clearance_SubmissionTemplate[1].doc	Supplementary Document	Uploaded 2018-04-26	Available
PRA-2127-0682_NHTSA Fast Track Generic Clearance Part B_2018.docx	Supporting Statement B	Uploaded 2018-04-27	Available
PRA-2127_0682_NHTSA_Fast_Track_Generic_Clearance_Part_A_2018.doc	Supporting Statement A	Uploaded 2018-04-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248865	Generic Clearance for the Collection of Qualitative Feedback on Advanced Driver Assistance Systems Creative Concept Testing	Form and Instruction	New	ADAS Concept Testing Dicussion Guide
248865	Generic Clearance for the Collection of Qualitative Feedback on Advanced Driver Assistance Systems Creative Concept Testing	Form	New	ADASConcept Testing Screener
248375	Generic Clearance for the Collection of Qualitative Feedback on Spanish-Language Ad Concepts for Office of Defects Investigation Recall Campaign Promotion.	Form and Instruction	New	Qualitative Feedback on Spanish-Language Ad Concepts For Office Of Defects Investigation Discussion Guide
248375	Generic Clearance for the Collection of Qualitative Feedback on Spanish-Language Ad Concepts for Office of Defects Investigation Recall Campaign Promotion.	Form	New	QUALITATIVE FEEDBACK ON HISPANIC AD CONCEPTS FOR OFFICE OF DEFECTS INVESTIGATION SCREENER ONLINE DISCUSSION BOARD
248222	REAR SEAT BELT COMPLIANCE EXPLORATORY RESEARCH	Form	New	NHTSA - Rear Seat Belt Exploratory Research - Screener
248222	REAR SEAT BELT COMPLIANCE EXPLORATORY RESEARCH	Form	New	NHTSA - Rear Seat Belt Exploratory Research - Discussion Guide
247720	Online Focus Groups for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Driving after Drinking	Form and Instruction	New	Drive Sober Concept Testing - Discussion Guide
247720	Online Focus Groups for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Driving after Drinking	Form	New	Driver Sober COncept Testing - Screener
247649	CIOT Exploratory Reserach	Form	New	Click It of Ticket Exploratory Research Online Focus Group Recruiting Screener
247649	CIOT Exploratory Reserach	Form and Instruction	New	Click It or Ticket Exploratory Research Online Focus Group Discussion Guide
246813	Focus Groups for Development of a National Public Service Awareness Campaign to Reduce Drug-Impaired Driving	Form and Instruction	New	NHTSA Drug Impaired Focus Group Moderators Guide
246813	Focus Groups for Development of a National Public Service Awareness Campaign to Reduce Drug-Impaired Driving	Form	New	NHTSA Drug Imoaired Focus Group Screener
245929	Online Focus Group Research for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Operating a Motorcycle while Impaired.	Form and Instruction	New	Motorcycle Impairment - Discussion Guide
245929	Online Focus Group Research for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Operating a Motorcycle while Impaired.	Form and Instruction	New	Motorcycle Impairment - Screener
245754	Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign	Form and Instruction	New	Heatstroke Discussion Guide - Hispanic
245754	Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign	Form and Instruction	New	Heatstroke Screener - Hispanic
245754	Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign	Form and Instruction	New	Heatstroke Discussion Guide - English
245754	Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign	Form and Instruction	New	Heatstroke Screener - English
245439	Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing for Traffic and Motor Vehicle Safety Programs and Activities	Form	New	Moderators Guide
245439	Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing for Traffic and Motor Vehicle Safety Programs and Activities	Form	New	Onlne Study Screener - Spanish
245439	Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing for Traffic and Motor Vehicle Safety Programs and Activities	Form	New	Moderator’s Guide
245439	Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing for Traffic and Motor Vehicle Safety Programs and Activities	Form	New	Online Study Screener
244306	Texting and Driving	Form	New	Texing and Driving
244306	Texting and Driving	Form	New	Texting and Driver Screener
243961	Tween Seat Belt Safety Online Survey	Form	New	Tween Seat Belt Safety Online Survey
243742	Child Passenger Safety Online Survey	Form	New	Child Passenger Safety Wave
242490	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	NHTSA Phase 2 OBB Discussion Guide
242490	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	NHTSA Phase 2 OBB Screener
239859	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Recruitment Screener - Spanish
239859	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Recruitment Screener
239859	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Discussion Guide - Spanish
239859	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Discusssion Guide
239242	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	CIOT Discussion Guide
239242	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	CIOT Screener
238967	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	ODI Air Bag Creative Testing - Discussion Guide
238967	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	ODI Air Bag Recall Creative Testing - Screener
238786	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	ODI Recall Creative Testing OMB Discussion Guide
238786	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	ODI Recall Creative Testing OBB Screener
238540	Qualitative Feedback on How to Communicate More Effectively with Consumers about Automated Driving Systems	Form	New	ADS Consumer Education Research FG Workbook
238540	Qualitative Feedback on How to Communicate More Effectively with Consumers about Automated Driving Systems	Form and Instruction	New	ADS Consumer EducationResearch FG Discussion Guide
238540	Qualitative Feedback on How to Communicate More Effectively with Consumers about Automated Driving Systems	Form	New	ADS Consumer Education Research FG Screener
237678	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	NHTSA Comm Check Moderators Guide
237678	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	NHTSA Comm Check Screener
237290	2020 Distracted Driving Campaign Focus Groups	Form	New	Distracted Driving Screener 08052019 SPANISH BACK TRANSLATION
237290	2020 Distracted Driving Campaign Focus Groups	Form and Instruction	New	Distracted Driving Mod Guide 08052019 GENERAL MARKET AND SPANISH BACK TRANSLATION
237290	2020 Distracted Driving Campaign Focus Groups	Form and Instruction	New	Distracted Driving Mod Guide 08052019 SPANISH
237290	2020 Distracted Driving Campaign Focus Groups	Form	New	Distracted Driving Screener 08052019 SPANISH (002).docx
237290	2020 Distracted Driving Campaign Focus Groups	Form	New	Distracted Driving Screener 08052019 GENERAL MARKET
237108	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Child Passenger Safety Wave
236790	NHTSA_CCS_2019 Communications Checks	Form	New	Online Study Screener
236790	NHTSA_CCS_2019 Communications Checks	Form	New	Online Survey Questions
236641	Collection of Qualitative Feedback on Effective Recall Communications for Office of Defects Investigation Recall Campaign Promotion.	Form	New	ODI Recall Communications OBB Screener Takata_FINAL_2019-04-22
236641	Collection of Qualitative Feedback on Effective Recall Communications for Office of Defects Investigation Recall Campaign Promotion.	Form	New	ODI Recall Communications OBB Screener Hispanic
236641	Collection of Qualitative Feedback on Effective Recall Communications for Office of Defects Investigation Recall Campaign Promotion.	Form	New	ODI Recall Communications OBB Screener GenPop
236641	Collection of Qualitative Feedback on Effective Recall Communications for Office of Defects Investigation Recall Campaign Promotion.	Form	New	ODI Recall Communications OBB Discussion Guide
236523	Focus Groups for Increasing Safety Belt Use Among Rural Populations	Form	New	PRG Screner for Recruiting
236523	Focus Groups for Increasing Safety Belt Use Among Rural Populations	Form and Instruction	New	PRG Community Member Focus Group Moderator's Guide
235796	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Drugged Driving Moderators Guide
235796	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Drugged Driving Recruiting Screener
235440	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Drug Impaired Drving Survey
234999	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	DOT Transportation.gov 2019 Survey
234449	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Drug Impaired Moderators Guide
234449	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Drug Impaired Driving Screener
233955	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Impaired Driving Survey
233715	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Moderators Guide
233715	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Recruitment Screener
232813	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction	New	Drugged Driving Moderators Guide - Spanish
232813	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form	New	Drugged Driving Screener - Spanish

ICR Details

OMB Control No: 2127-0682	ICR Reference No: 201804-2127-006
Status: Historical Active	Previous ICR Reference No: 201502-2127-002
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/28/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved	08/31/2018
Responses	113,582	0	113,582
Time Burden (Hours)	20,204	0	20,204
Cost Burden (Dollars)	0	0	135,820

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders is voluntary and will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. Our customers and stakeholders range from the individuals and households, businesses, organizations, state and local governments. There are no program changes or adjustment to be report with this renewal.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 1095	01/09/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 18393	04/26/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 31

table that charts list of burden

IC Title	Form No.	Form Name
2020 Distracted Driving Campaign Focus Groups	NHTSA Form 1515, NHTSA Form 1517, NHTSA Form 1516, nhtsa fORM 1519, NHTSA Form 1518	Distracted Driving Screener 08052019 GENERAL MARKET ,   Distracted Driving Screener 08052019 SPANISH (002).docx ,   Distracted Driving Mod Guide 08052019 SPANISH ,   Distracted Driving Mod Guide 08052019 GENERAL MARKET AND SPANISH BACK TRANSLATION ,   Distracted Driving Screener 08052019 SPANISH BACK TRANSLATION
CIOT Exploratory Reserach	NHTSA Form 1605, NHTSA Form 1606	Click It or Ticket Exploratory Research Online Focus Group Discussion Guide ,   Click It of Ticket Exploratory Research Online Focus Group Recruiting Screener
Child Passenger Safety Online Survey	NHTSA Form 1512	Child Passenger Safety Wave
Collection of Qualitative Feedback on Effective Recall Communications for Office of Defects Investigation Recall Campaign Promotion.	NHTSA Form 1499, NHTSA Form 1498, NHTSA Form 1501, NHTSA Form 1500	ODI Recall Communications OBB Discussion Guide ,   ODI Recall Communications OBB Screener GenPop ,   ODI Recall Communications OBB Screener Hispanic ,   ODI Recall Communications OBB Screener Takata_FINAL_2019-04-22
Focus Groups for Development of a National Public Service Awareness Campaign to Reduce Drug-Impaired Driving	NHTSA Form 1603, NHTSA Form 1602	NHTSA Drug Imoaired Focus Group Screener ,   NHTSA Drug Impaired Focus Group Moderators Guide
Focus Groups for Increasing Safety Belt Use Among Rural Populations	NHTSA Form 1487, NHTSA Form 1488	PRG Community Member Focus Group Moderator's Guide ,   PRG Screner for Recruiting
Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing for Traffic and Motor Vehicle Safety Programs and Activities	NHTSA Form 1306, NHTSA Form 1436, NHTSA Form 1306, NHTSA Form 1436	Online Study Screener ,   Moderator’s Guide ,   Onlne Study Screener - Spanish ,   Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Advanced Driver Assistance Systems Creative Concept Testing	NHTSA Form 1622, NHTSA Form 1623	ADASConcept Testing Screener ,   ADAS Concept Testing Dicussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1485, NHTSA Form 1486	Drug Impaired Driving Screener ,   Drug Impaired Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1479, NHTSA Form 1480	Recruitment Screener ,   Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1536, NHTSA Form 1537	CIOT Screener ,   CIOT Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1540, NHTSA Form 1541, NHTSA Form 1542, NHTSA Form 1543	Discusssion Guide ,   Discussion Guide - Spanish ,   Recruitment Screener ,   Recruitment Screener - Spanish
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1534, NHTSA Form 1535	ODI Air Bag Recall Creative Testing - Screener ,   ODI Air Bag Creative Testing - Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1574, NHTSA Form 1575	NHTSA Phase 2 OBB Screener ,   NHTSA Phase 2 OBB Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1512	Child Passenger Safety Wave
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1384	Impaired Driving Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1485	Drug Impaired Drving Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1532, NHTSA Form 1533	ODI Recall Creative Testing OBB Screener ,   ODI Recall Creative Testing OMB Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1521, NHTSA Form 1520	NHTSA Comm Check Screener ,   NHTSA Comm Check Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1467, NHTSA Form 1477	Drugged Driving Screener - Spanish ,   Drugged Driving Moderators Guide - Spanish
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1490, NHTSA Form 1491	Drugged Driving Recruiting Screener ,   Drugged Driving Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	NHTSA Form 1489	DOT Transportation.gov 2019 Survey
Generic Clearance for the Collection of Qualitative Feedback on Spanish-Language Ad Concepts for Office of Defects Investigation Recall Campaign Promotion.	NHTSA Form 1620, NHTSA Form 1619	QUALITATIVE FEEDBACK ON HISPANIC AD CONCEPTS FOR OFFICE OF DEFECTS INVESTIGATION SCREENER ONLINE DISCUSSION BOARD ,   Qualitative Feedback on Spanish-Language Ad Concepts For Office Of Defects Investigation Discussion Guide
NHTSA_CCS_2019 Communications Checks	NHTSA Form 1306, NHTSA Form 1436	Online Study Screener ,   Online Survey Questions
Online Focus Group Research for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Operating a Motorcycle while Impaired.	NHTSA Form 1594, NHTSA Form 1595	Motorcycle Impairment - Screener ,   Motorcycle Impairment - Discussion Guide
Online Focus Groups for Assessment of Creative Concepts Supporting a National Communications Campaign to Discourage Driving after Drinking	NHTSA Form 1607, NHTSA Form 1608	Driver Sober COncept Testing - Screener ,   Drive Sober Concept Testing - Discussion Guide
Online Focus Groups for Assessment of Creative Concepts Supporting the 2021 Heatstroke Campaign	NHTSA Form 1590, NHTA Form 1590, NHTSA 1592, NHTSA Form 1592	Heatstroke Screener - English ,   Heatstroke Discussion Guide - English ,   Heatstroke Screener - Hispanic ,   Heatstroke Discussion Guide - Hispanic
Qualitative Feedback on How to Communicate More Effectively with Consumers about Automated Driving Systems	NHTSA Form 1530, NHTSA Fomr 1529, NHTSA Form 1531	ADS Consumer Education Research FG Screener ,   ADS Consumer EducationResearch FG Discussion Guide ,   ADS Consumer Education Research FG Workbook
REAR SEAT BELT COMPLIANCE EXPLORATORY RESEARCH	NHTSA Form 1611, NHTSA Form 1610	NHTSA - Rear Seat Belt Exploratory Research - Discussion Guide ,   NHTSA - Rear Seat Belt Exploratory Research - Screener
Texting and Driving	NHTSA Form 1584, NHTSA Form 1585	Texting and Driver Screener ,   Texing and Driving
Tween Seat Belt Safety Online Survey	NHTSA Form 1272	Tween Seat Belt Safety Online Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	113,582	113,582	0	0	0	0
Annual Time Burden (Hours)	20,204	20,204	0	0	0	0
Annual Cost Burden (Dollars)	0	135,820	0	-135,820	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $525,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/28/2018

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