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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2127-0682
IC ID: 207809
OMB.report
DOT/NHTSA
OMB 2127-0682
ICR 201202-2127-006
IC 207809
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0682 can be found here:
2022-05-05 - Reinstatement without change of a previously approved collection
2018-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form NHTSA Form 1203
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Form and Instruction
NHTSA Form 1203 Parent Screener
Parent Screener_Under Age Drunk Driving_FINAL_07162013.docx
Form and Instruction
NHTSA Form 1204 Parents Moderators Guide
Underage DD Parents Guide_FINAL_07102013.docx
Form and Instruction
NHTSA Form 1205 Underage DDP Screener High School
Underage DDP Screener_High School_FINAL_07162013.docx
Form and Instruction
NHTSA Form 1206 Underage DDP Screener Non-High School
Underage DDP Screener_NonHS_FINAL_07162013.docx
Form and Instruction
NHTSA Form 1207 Underage DDP Group Discussion Guide
Underage DDP Focus Group Discussion Guide_FINAL_07102013.docx
Form and Instruction
NHTSA_Underage DDP_Generic Clearance Submission_FINAL_07102013.doc
Underage DDP Fast Track 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 and Instruction
NHTSA Form 1203
Parent Screener
Parent Screener_Under Age Drunk Driving_FINAL_07162013.docx
No
Fillable Fileable
Form and Instruction
NHTSA Form 1204
Parents Moderators Guide
Underage DD Parents Guide_FINAL_07102013.docx
No
Paper Only
Form and Instruction
NHTSA Form 1205
Underage DDP Screener High School
Underage DDP Screener_High School_FINAL_07162013.docx
No
Fillable Fileable
Form and Instruction
NHTSA Form 1206
Underage DDP Screener Non-High School
Underage DDP Screener_NonHS_FINAL_07162013.docx
No
Fillable Fileable
Form and Instruction
NHTSA Form 1207
Underage DDP Group Discussion Guide
Underage DDP Focus Group Discussion Guide_FINAL_07102013.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
183
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
183
0
183
0
0
0
Annual IC Time Burden (Hours)
139
0
139
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Underage DDP Fast Track Request
NHTSA_Underage DDP_Generic Clearance Submission_FINAL_07102013.doc
07/23/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.