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⚠️ Notice: This information collection may be referencing outdated material.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

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 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 %

	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

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.