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⚠️ Notice: This information collection may be referencing outdated material.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 1467 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
NHTSA Form 1467 Drugged Driving Screener - Spanish Drugged Driving Screener SPANISH GM_071718.docx Form
NHTSA Form 1477 Drugged Driving Moderators Guide - Spanish Drugged Driving Mod Guide SPANISH GM_071718.doc Form and Instruction
Hispanic Drug Impaired Driving Scripts for Testing.docx Hispanic Driving Scripts IC Document
DrugImpaired_C1W_Selects V4.pdf Drug Impaired C1W Selects IC Document
Drugged Driving Generic Clearance SPANISH lgm 08 23_.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 1467	Drugged Driving Screener - Spanish	Drugged Driving Screener SPANISH GM_071718.docx		No		Paper Only
Form and Instruction	NHTSA Form 1477	Drugged Driving Moderators Guide - Spanish	Drugged Driving Mod Guide SPANISH GM_071718.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 424	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	424	424
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Hispanic Driving Scripts	Hispanic Drug Impaired Driving Scripts for Testing.docx	08/24/2018
Drug Impaired C1W Selects	DrugImpaired_C1W_Selects V4.pdf	08/24/2018
Generic Clearance Request	Drugged Driving Generic Clearance SPANISH lgm 08 23_.docx	08/24/2018

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