Information Collection

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

IC 242490 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⚠️ Notice: This information collection may be referencing outdated material.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 1574 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Form
NHTSA Form 1574 NHTSA Phase 2 OBB Screener NHTSA Phase 2 OBB- Screener - 6.15.2020.docx	Form
NHTSA Form 1575 NHTSA Phase 2 OBB Discussion Guide NHTSA Phase 2 OBB - Discussion Guide - 6.15.2020.docx	Form
NHTSA Phase 2 OBB - Generic Clearance Submission - 6.22.2020.docx NHTSA Phase 2 OBB Generic Clearance	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 1574	NHTSA Phase 2 OBB Screener	NHTSA Phase 2 OBB- Screener - 6.15.2020.docx		No		Fillable Fileable
Form	NHTSA Form 1575	NHTSA Phase 2 OBB Discussion Guide	NHTSA Phase 2 OBB - Discussion Guide - 6.15.2020.docx		No		Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

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	900	900
Annual IC Time Burden (Hours)	277	277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NHTSA Phase 2 OBB Generic Clearance	NHTSA Phase 2 OBB - Generic Clearance Submission - 6.22.2020.docx	06/26/2020

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