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⚠️ Notice: This information collection may be referencing outdated material.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 1490 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form and Instruction
NHTSA Form 1490 Drugged Driving Recruiting Screener Drugged Driving Recruiting Screener 041119.docx Form and Instruction
NHTSA Form 1491 Drugged Driving Moderators Guide Drugged Driving mod guide 041119.docx Form and Instruction
Drugged Driving Generic Clearance 042219.docx Drugged Driving Generic Clearance IC Document
DRUGGED DRIVING 2019 - PILLS creative1_4-15-19.pdf Drugged Driving 2019 - Pills Creative 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 and Instruction	NHTSA Form 1490	Drugged Driving Recruiting Screener	Drugged Driving Recruiting Screener 041119.docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1491	Drugged Driving Moderators Guide	Drugged Driving mod guide 041119.docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,590	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	1,590	1,590
Annual IC Time Burden (Hours)	1,590	1,590
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Drugged Driving Generic Clearance	Drugged Driving Generic Clearance 042219.docx	04/22/2019
Drugged Driving 2019 - Pills Creative	DRUGGED DRIVING 2019 - PILLS creative1_4-15-19.pdf	04/22/2019

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