Request form, memo, draft survey

DEPARTMENT OF THE TREASURY
BUREAU OF THE FISCAL SERVICE
WASHINGTON , DC 20227

DATE:

MAR 1 0 2014

TO:

J. Wesley Powe, Manager
Records and Information Management Branch

FROM:

John B. Hill
Assistant Commissioner
Payment Management

SUBJECT:

OMB Fast Track Clearance of the
Go Direct Financial Institution and Corporation Website Survey
FMS Tracking No. 1510-0076

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Attached is documentation for the Office of Management and Budget (OMB) review of the Go
Direct Financial Institution and Corporation Website Survey using the Fast Track Clearance
process. This survey is designed to get feedback from customers using the Go Direct website to
enroll benefit recipients in direct deposit. We will survey 500 respondents for 2 minutes which is
17 hours of burden imposed on the Financial Institutions and Corporations.
If you have any questions regarding this study, please direct them to Walt Henderson on
874-6624.

Attachments:

OMB Request for Generic Clearance of Go Direct
Financial Institution and Corporation Website Survey
83-C - Paperwork Reduction Act Change Worksheet
Go Direct Financial Institution and Corporation Website Survey

PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/subagency

OMB Control Number

Department of the Treasury - Bureau of the Fiscal Service

-

Enter only items that change
Current record

-

1510
-

!

- 0076

- - --

-

New record

Agency form number (s)
Go Direct Fl and Corporation
Website Survey
Annual reporting and recordkeeping hour
burden
Number of respondents

500

Total annual responses

500

Percent of these responses
collected electronically

100

%

Total annual hours

%

17

Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0

Total annual costs (O&M)

0

Total annualized cost requested

0

Difference

0

Explanation of difference
Program change
Adjustment
Other changes**
Receive feedback from Go Direct users to aid in development of website redesign.

Signature of Senior Official or designee:

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Walt Henderson, Director, EFT Strategy Division
**This form cannot be used to extend an expiration date.
OMB 83-C

Date:

ForOIRA Use

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10/95

Request for Approval under the "Generic Clearance for the Collection of
Routine Customer Feedback" (OMB Control Number: 1510-0076)
TITLE OF INFORMATION COLLECTION: Go Direct Financial Institution and Corporate
Website Feedback
PURPOSE: Receive feedback from users to aid in development of website redesign.

DESCRIPTION OF RESPONDENTS: Financial Institutions (Banks, Credit Unions, etc.) and
Corporations (Nursing Homes, etc.) who use the current website to enroll federal benefit
recipients into direct deposit. This website helps the Treasury in their cost reduction efforts by
reducing the number of paper checks that are printed and mailed.

TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[X] Usability Testing (e.g., Website or Software)
[ ] Focus Group

[] Customer Satisfaction Survey
[ ] Small Discussion Group
[]Other:_ _ _ _ _ _ _ _ _ __

CERTIFICATION:
I certify the following to be true:
1. The collection is voluntary.
2. The collection is low-burden for respondents and low-cost for the Federal Government.
3. The collection is non-controversial and does not raise issues of concern to other federal
agencies.
4. The results are not intended to be disseminated to the public.
5. Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
6. 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.

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Name: Walt Henderson, Direct~ EFr Strategy Division
To assist review, please provide answers to the following question:

1

Personally Identifiable Infor mation:
1. Is personally identifiable information (PII) collected? [ ] Yes [x] No
2. If Yes, is the information that will be collected included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3. If Applicable, has a System or Records Notice been published? [ ] Yes []No
Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [x] No

BURDEN HOURS
Category of Respondent
Respond to questionnaire via link on current website

No. of
Participation
Respondents Time
500 estimate 2 minutes each

Totals

500 estimate
-

- -'----

--

1,000 minutes
-

---

- - -- -

-- - - - · - - - -

Burden

17
'---Hours

FEDERAL COST: The estimated annual cost to the Federal government is .$Q
If you are conducting a focus group, survey, or plan to employ statistical methods, please

provide answers to the following questions:
The selection of your targeted respondents
1. 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?
[x] Yes[] 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? There are 17,857 email addresses in the database
beginning from 1/28/13 to 1/29/14. Of these, there are 1,217 that have been active within the
past 90 days. Our plan is to send an email to the 1,217 group informing them that a link to the
survey is on the website in case they are interested in providing feedback to help us improve the
website.
Attached are the questions that will be asked, including a link to the survey.

https ://www.frbatlanta.org/survey/surveyDoc.cfm?sid=6498461

2

Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[x] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain

2. Will interviewers or facilitators be used? [ ] Yes [x] No
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

Instructions for completing Request for Approval under the "Generic
Clearance for the Collection of Routine Customer Feedback"
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the
subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used.
If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or
groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other
instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the
collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide
a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the
following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal
governments; or (4) Federal Government. Only one type of respondent can be selected.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to
participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the
participation time and divide by 60.

3

FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions:

The selection of your targeted respondents. Please provide a description of how you plan to
identify your potential group of respondents and how you will select them. If the answer is yes,
to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than

one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or
facilitators (e.g., for focus groups) used.
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

4

Go Direct FICorp Website Survey
In an effort to continuously improve the Go Direct FICorp Website, we would like your feedback on how
functional the site is to you. Your responses are anonymous.
What type of organization do you represent?

r
r

Financial Institution (bank, credit union)
Corporate Institution (all other)

How often do you use the Go Direct FICorp Website?

r
r
r

Da1.1 y
Weekly
Monthly or less

What type of Direct Deposit enrollments do you most often enter at one session/sitting?

r
r
r

Single/Individual enrollments (for one person)
Multiple enrollments (for different people)
Both Single and Multiple enrollments

On average how many enrollments do you process during a session/sitting?

r
r
r
r

r

1

2 to 5
6 to 10
10 to 20
Greater than 20

While entering enrollment data, what percentage of the time is the check recipient/customer available in person
to provide enrollment information to you?

r
r

Always (100%)
Often (75%)

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Sometime (50%)

r
r

Rarely (25%)
Never (0% -entering from paper enrollment form or other documentation)

When entering an enrollment, what percentage of time do you have a copy of the recipient's benefit check
available?
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Always (100%)

r

r
r
r

Often (75%)
Sometimes (50%)

Rarely (25%)
Never (0%)

Would you prefer to no longer provide a username/password to access the FICorp website?

r

- change would save tlme
- )
Yes Cthts

r

No

r

Indifferent (does not matter to me)

Do you ever use the Go Direct public website (www.godirect.gov) as an alternative to the FICorp website for
single/individual enrollments?
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Yes

r

No

Would you be interested in bulk/batch enrollment processing if it were available?

r

Yes

r

No

r

Indifferent (does not matter to me)

Please list anything you like to change about the current Go Direct FICorp Website.
2500 character maximum

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