Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

ICR 201204-1910-004

OMB: 1910-5160

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2012-04-25
Justification for No Material/Nonsubstantive Change
2012-04-25
Supporting Statement B
2011-04-14
Supplementary Document
2011-04-14
IC Document Collections
IC ID
Document
Title
Status
211110 New
209552 New
209161 New
208375 New
208337 New
208183 New
206904 New
203996 New
203836 New
203733 New
203560 New
203458 New
202853 New
202527 New
201941 Removed
201309 Removed
200988 Removed
199724 Removed
199186 Removed
199109 Removed
ICR Details
1910-5160 201204-1910-004
Historical Active 201108-1910-017
DOE/DOEOA Chris Rouleau
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 05/18/2012
Retrieve Notice of Action (NOA) 04/25/2012
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
06/30/2014 06/30/2014 06/30/2014
222,000 0 2,220
111,000 0 111,000
0 0 0
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.
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None
Not associated with rulemaking
  75 FR 80542 12/22/2010
76 FR 72 04/14/2011
No
  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 222,000 2,220 0 219,780 0 0
Annual Time Burden (Hours) 111,000 111,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
No
No
No
No
No
Uncollected
Christina Rouleau 301 903-6227 Christina.Rouleau@hq.doe.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.
04/25/2012
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