Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

ICR 201107-0960-009

OMB: 0960-0788

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2011-07-26
IC Document Collections
IC ID
Document
Title
Status
211947 New
211553 New
211203 New
211042 New
210690 New
210382 New
210246 New
209916 New
208756 New
207535 New
207204 New
206213 New
206072 New
205509 New
205326 New
204831 New
204339 New
204171 New
202995 New
202138 New
201803 New
201495 New
200949 New
200795 New
200577 New
200073 New
199701 New
199649 New
198658 New
198480 Removed
ICR Details
0960-0788 201107-0960-009
Historical Active 201107-0960-003
SSA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/29/2011
Retrieve Notice of Action (NOA) 07/26/2011
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
07/31/2014 07/31/2014 07/31/2014
4,812,504 0 4,812,504
438,375 0 438,375
0 0 0

This collection of information is necessary to enable SSA 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 SSA's programs.

None
None

Not associated with rulemaking

  75 FR 80542 12/22/2010
75 FR 15027 03/18/2011
No

29
IC Title Form No. Form Name
Ticket to Work (TTW) Program Focus Group
Customer Satisfaction Survey - EBB PROMISE
Two Customer Satisfaction Surveys - Disability Awarness Campaign Media Survey and Disability Program Feedback Survey
Two Customer Satisfaction Surveys - Registration, Personalized Portal, and the Online Social Security Statement
Appointed Representative Survey (Interview)
SSA Mobile Website Survey
Retirement Research Consortium (RRC) Survey
Retirement Research Consortium (RRC) Conference Survey
Jackson Federal Bulding Access Survey Questionnaire
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OAG Contractor Survey
Disability Awareness Survey
State Court Adult Guardianship Practices Online Survey (ACUS Survey)
Two Qualitative Customer Satisfaction Surveys: Change of Address Notice Focus Group and EBB; OIG Semiannual Report to Congress Survey
Two Customer Satisfaction Surveys
Survey - SSA Redesigned Home Page
ANI Reroute to WBDOC Project
Survey - Section 504 Self-Evaluation Survey
Customer Satisfaction Survey - eServices Kiosks
Ticket to Work (TTW) Program Outreach Materials Interviews
Webinar and Webcast Survey
RRC Survey
FAQ Web Pages and Alternative Designs Focus Group
Two Customer Satisfaction Surveys - OIG Website and OIG Semiannual Report to Congress
Two Customer Satisfaction Suveys - Focus Group National Communications Campaign and Field Office Intercept National Communications Campaign
RRC Conference Survey
Video Remote Interpreting Electronic Bulletin Board Discussion Group
Two Customer Satisfaction Surveys (MySSAccess Focus Group and PCAP Survey for SSA Alumni)
Electronic Payment Customer Satisfaction Survey
SSA Nationwide Billboard Campaign -

  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 4,812,504 4,812,504 0 0 0 0
Annual Time Burden (Hours) 438,375 438,375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$131,204
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  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.
07/26/2011


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