View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
2127-0682
ICR Reference No:
201502-2127-002
Status:
Historical Active
Previous ICR Reference No:
201202-2127-006
Agency/Subagency:
DOT/NHTSA
Agency Tracking No:
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/02/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/26/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2018
36 Months From Approved
04/30/2015
Responses
113,582
0
113,582
Time Burden (Hours)
20,204
0
20,204
Cost Burden (Dollars)
135,820
0
135,820
Abstract:
This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 72243
12/05/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 8941
02/19/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
37
IC Title
Form No.
Form Name
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1356, NHTSA Form 1355
Drugged Driving Moderators Guide
,
Drugged Driver Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1438, NHTSA Form 1437
CIOT Screener Spanish-Reliant
,
CIOT Moderators Guide Spanish-Reliant
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1308
Survey for Underage Drinking and Driving Prevention Public Service Advertising Campaign
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1362, NHTSA Form 1361, NHTSA Form 1360
Recruitment SCreener for Focus Groups: Students
,
Recruitment Screener for Focus Groups: Night Shift Workers
,
Moderator’s Guide for Focus Groups
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1393, NHTSA Form 1394
Parents of Teen Drivers Moderators Guide
,
Parents of Teen Drivers Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1411, NHTSA Form 1412, NHTSA Form 1410
NHTSA Autonomus Vehicles Focus Group Screener
,
NHTSA Autonomus Vehicles Discussion Guide
,
Autonomus Driving Workbook
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1349
Mayors Challenge for Safer People and Safer Streets Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1335, NHTSA Form 1336
Buzzed Driving Screener
,
Buzzed Driving Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1341, NHTSA Form 1342
Recruitment Screener
,
Moderator's Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1434, NHTSA Form 1433
CIOT Recruitment Screener
,
CIOT Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1300, NHTSA Form 1301
Moderator's Guide Parent and Caretaker Focus Groups to Develop Childhood Passenger Safety Public Service Advertising Campaign
,
Recruitment Screener Parent and Caretaker Focus Groups to Develop Child Passenger Safety Public Service Advertising Campaign
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1271, NHTSA Form 1270
NHTSA UDDP Comm Checks Moderators Guide
,
NHTSA UDDP Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1381, NHTSA Form 1379, NHTSA Form 1380
Speed Moderators Guide A
,
Speed MOderators Guide B
,
Speed Screener
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1436, NHTSA Form 1435
UDDP Screener
,
UDDP Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1364, NHTSA Form 1363
Drugged Driver Recruitment Screener
,
Drugged Driving Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1383
DBE Questionnaire
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1272
Survey for Child Passenger Safety
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1384
Online Survey Questionnaire - Impaired Driving Public Service Advertising Campaign
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1358, NHTSA Form 1359
Recruitment Screener
,
Moderator's guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1413, NHTSA Form 1414
Drunk Driver Concepts Screener
,
Drunk Driving Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1305, NHTSA Form 1306, NHTSA Form 1307
Bulletin Board Guide Redesign
,
Bulletin Board Screener - General
,
Bulletin Board Screener - Female
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1297, NHTSA Form 1298
Recruitment Screener
,
Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1388, NHTSA Form 1389
Recruitment Screener
,
Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1403, NHTSA Form 1405, NHTSA Form 1404
Informed Consent
,
Motorcycle Recruitment Screener
,
Motorcycle Focus Group Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1432, NHTSA Form 1431
Recruitment Screener - Parent and Caretaker
,
Child Passenger Safety Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1357
GMSS Training Evaluation
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1367, NHTSA Form 1368
Recruitment Screener for Focus Groups
,
Moderator's Guide for Fcous Groups
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1213, NHTSA Form 1313
Recruitment Screener - Branding Positioning
,
Moderators Guide - Branding Positioning
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1429, NHTSA Form 1430
Advanced Safety Nomenclature Screener
,
Advanced Safety Nomenclature Discussion Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1298, NHTSA Form 1299
Child Passenger Safety Recruit Screener
,
Child Passenger Safety Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1335, NHTSA Form 1336
Buzz Driving Screener
,
Moderators Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1298
Ladders of Opportunity: Transportation Youth Initiative
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1407, NHTSA Form 1406
Drugged Driver Recruitment Sceener
,
Drugged Driving Mod Guide
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
NHTSA Form 1390
Distracted Driving Tracking Study
OMB Aquisition 360 Review
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
113,582
113,582
0
0
0
0
Annual Time Burden (Hours)
20,204
20,204
0
0
0
0
Annual Cost Burden (Dollars)
135,820
135,820
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$205,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Walter Culbreath 202-366-1566 wculbreath@nhtsa.dot.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/26/2015
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