Information Collection

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

IC 237108 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⚠️ Notice: This information collection may be referencing outdated material.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 1512 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1512 Child Passenger Safety Wave Ad Council_Questionnaire_Child Passenger Safety_Wave 7_071619.docx	Form
Fast Track Clearance Request_Child Passenger Safety_Online Survey_070319....docx Generic Clearance Request	IC Document
Ad Council_Creative Child Passenger Safety_Wave 7_071619.docx Ad Council Creative Child Passenger Wave	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	NHTSA Form 1512	Child Passenger Safety Wave	Ad Council_Questionnaire_Child Passenger Safety_Wave 7_071619.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	242	242
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Request	Fast Track Clearance Request_Child Passenger Safety_Online Survey_070319....docx	07/25/2019
Ad Council Creative Child Passenger Wave	Ad Council_Creative Child Passenger Safety_Wave 7_071619.docx	07/25/2019

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