View Information Collection (IC)

View Information Collection (IC)

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 1435	UDDP Screener	NHTSA UDDP Screener-revised 3.21.18.docx		No		Fillable Fileable
Form and Instruction	NHTSA Form 1436	UDDP Moderators Guide	NHTSA UDDP Comm Checks Moderators Guide_revised 3.21.18.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 272	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	272	0	272	0	0	0
Annual IC Time Burden (Hours)	83	0	83	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
UDDP Clearance Request	NHTSA UDDP Fast Track Clearance Request Comm Checks_revised 3.21.18.docx	04/16/2018
NHTSA AdCouncil	NHTSAxADCOUNCIL 3_21_18.pdf	04/16/2018

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