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⚠️ Notice: This information collection may be referencing outdated material.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 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

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 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 %

	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

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.