Request
for Approval under the “Generic Clearance
for
the Collection of Routine Customer
Feedback”
(OMB ControlNumber:
0690-0030)
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group
[ ] Focus Group [X] Other: Workshop agenda development
I certify the following to be true:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.
Name: Maria Honeycutt, NOAA, Coastal Services Center, (301) 713-0525 x190, maria.honeycutt@noaa.gov
To assist review, please provide answers to the following question:
Is personally identifiable information (PII) collected? [ ] Yes [X] No
If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No
Category of Respondent |
No. of Respondents |
Participation Time |
Burden |
Federal Government |
10 |
15 min |
2.5 hrs |
State Local Tribal Government |
60 |
15 min |
15.0 hrs |
Private Sector (Non-Profit Organizations) |
30 |
15 min |
7.5 hrs |
Totals |
100 |
15 min |
25 hrs |
FEDERAL COST: The estimated annual cost to the Federal government is _$16,000.__
If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:
Statistical methods are not being used.
Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe?
[ ] Yes [X] No
If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?
With assistance from the Shoreline Change Workshop Steering Committee, NOAA’s CSP will develop a list of approximately 100 shoreline management practitioners (public and private sector) who have an interest in Great Lakes shoreline management issues. Together, NOAA’s CSP and the Steering Committee have contact information for stakeholders representing various geographical areas within the Great Lakes region and various sectors (federal, regional, state, and local agencies, non-profit organizations, academic institutions). While we will strive to develop a sample that is inclusive of these geographical areas and sectors, the sample is not intended to be a statistically representative sample of the complete universe of potential respondents.
How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain.
Will interviewers or facilitators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/msword |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
Last Modified By | gbanks |
File Modified | 2012-12-18 |
File Created | 2012-12-18 |