Information Collection

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

IC 237678 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⚠️ Notice: This information collection may be referencing outdated material.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 1520 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1520 NHTSA Comm Check Screener NHTSA Comm Check Screener_Buzzed Driving_08 27 19.docx	Form
NHTSA Form 1521 NHTSA Comm Check Moderators Guide NHTSA Comm Checks Moderators Guide_Buzzed Driving_08 21 19.docx	Form and Instruction
Buzzed_III_Presentation_8.7.19_concepts only reduced.pdf Buzzed Driving Concepts	IC Document
NHTSA Buzzed Driving Focus Group Research Generic Clearance 08 27 19.docx Generic Request	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 1520	NHTSA Comm Check Screener	NHTSA Comm Check Screener_Buzzed Driving_08 27 19.docx		No		Paper Only
Form and Instruction	NHTSA Form 1521	NHTSA Comm Check Moderators Guide	NHTSA Comm Checks Moderators Guide_Buzzed Driving_08 21 19.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 162

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	162	162
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Buzzed Driving Concepts	Buzzed_III_Presentation_8.7.19_concepts only reduced.pdf	09/06/2019
Generic Request	NHTSA Buzzed Driving Focus Group Research Generic Clearance 08 27 19.docx	09/06/2019

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