Information Collection

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

IC 233715 under ICR 201804-2127-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1479 Recruitment Screener Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
Form NHTSA Form 1480 Moderators Guide Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form and Instruction
NHTSA Form 1479 Recruitment Screener 2018_10_2_Rail Xing Screener GM (002).docx	Form and Instruction
NHTSA Form 1480 Moderators Guide 2018_10_2_Rail Xing mod guide GM.docx	Form and Instruction
2018_10_2_Rail Xing Generic Clearance GM.docx Genereic Clearance Request	IC Document
NHTSA - 2019 Rail Campaign Video Deck - REVISED.PDF 2019 Rail Campaign Video Deck	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 1479				No		Paper Only
Form and Instruction	NHTSA Form 1480				No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 720

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	720	720
Annual IC Time Burden (Hours)	151	151
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Genereic Clearance Request		10/25/2018
2019 Rail Campaign Video Deck		10/25/2018

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

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