USGS Customer Surveys, Generic Clearance

ICR 199812-1028-001

OMB: 1028-0071

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
11238
Migrated
ICR Details
1028-0071 199812-1028-001
Historical Active
DOI/GS
USGS Customer Surveys, Generic Clearance
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/05/1999
Retrieve Notice of Action (NOA) 12/16/1998
This programmatic clearance is approved under the following terms of clearance. Prior to the use of any instrument not specifically included in this submission, the agency must complete the attached form, which has been provided to the agency paperwork clearance officer, and the following supplemental questions: 1. Explain who will be conducting this survey. What program office will be conducting the survey? What services does this program provide? Who are the customers? How are these services provided to the customer? 2. Explain how this survey was developed. With whom did you consult during the development of this survey on content? statistics? What suggestions did you get about improving the survey? 3. Explain how the survey will be conducted. How will the customers be sampled (if fewer than all customers will be surveyed)? What percentage of customers asked to take the survey will respond? What actions are planned to increase the response rate? (Web-based surveys are not an acceptable method of sampling a broad population. Web-based surveys must be limited to services provided by Web.) 4. Describe how the results of this survey will be analyzed and used. If the customer population is sampled, what statistical techniques will be used to generalize the results to the entire customer population? Is this survey intended to measure a GPRA performance measure? (If so, please include an excerpt from the appropriate document.) The subagency program official must sign the form and send the survey instrument, form, and answers to the supplemental questions to the OIRA docket. OIRA will review the instrument for no more than two weeks and inform the subagency paperwork officer by email when review has been completed, after which the paperwork officer may use OMB number 1028-0071 on the instrument.
  Inventory as of this Action Requested Previously Approved
02/28/2002 02/28/2002
10,250 0 0
2,250 0 0
0 0 0

Generic clearance for USGS customer surveys to evaluate and improve programs pursuant to Executive Order 12862 and Government Performance and Results Act.

None
None


No

1
IC Title Form No. Form Name
USGS Customer Surveys, Generic Clearance

  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 10,250 0 0 10,250 0 0
Annual Time Burden (Hours) 2,250 0 0 2,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/16/1998


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