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

Forms and Documents

Document Name	Status
Form 1 2013 Blue Star Museums Participant Survey Form and Instruction	New
Form 1 Design for Accessibility Survey 2 11-30-12 - private Form and Instruction	Unchanged
Form 1 Arts Education Managers' Professional Development Institute Evaluation Form and Instruction	Unchanged
Form 1 Design for Accessibility Needs Assessment Survey Form and Instruction	Unchanged
Form 1 Data Portal Web Survey Form and Instruction	Unchanged
Form 1 Blue Star Museum Survey 2012 Form and Instruction	Unchanged
Form 1 Assessment of Needs for Data Portal Part 2 Form and Instruction	Unchanged
Form 1 Assessment of Needs for Data Portal Form and Instruction	Unchanged
Form 1 Request for Grantee Feedback from the Audience Affected Survey (Pilot Study) Form and Instruction	Unchanged
Form 1 Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study Form and Instruction	Unchanged
Form 1 Our Town Indicators Study Form and Instruction	Unchanged
Form 1 Our Town Study Interview Protocol Form and Instruction	Unchanged
Form 1 Your Town Focus Groups Form and Instruction	Unchanged
Form 1a Pilot Study Audience Affected Survey_Exhibitions and Film Events Form and Instruction	Unchanged
Form 1 Pilot Study Audience Affected Survey_Live Performances Form and Instruction	Unchanged
State Arts Agency and Regional Arts Organization Data Management Survey 2011 Form and Instruction	Unchanged
Blue Star Museums Participant Survey Form and Instruction	Unchanged
Education Leaders Institute Survey Form and Instruction	Unchanged
Justification non-substantive change.docx Justification for No Material/Nonsubstantive Change	2013-01-16
GC_Audience Affected Survey_Live Performances_Justification for NonSubstantive Change.docx Justification for No Material/Nonsubstantive Change	2011-12-21
Generic Clearance for the Collection of Qualaitative Feedback on Agency Service Delivery NEA Part B.docx Supporting Statement B	2011-07-14
Generic Clearance Submission Template.docx Supplementary Document	2011-04-20
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery_NEA_FINAL_updated.docx Supporting Statement A	2013-01-16

IC Document Collections

IC ID	Document Title	Status
208582	2013 Blue Star Museums Participant Survey Form and Instruction	New
205027	Design for Accessibility Survey 2 11-30-12 - private Form and Instruction	Unchanged
204353	Arts Education Managers' Professional Development Institute Evaluation Form and Instruction	Unchanged
204205	Design for Accessibility Needs Assessment Survey Form and Instruction	Unchanged
204003	Data Portal Web Survey Form and Instruction	Unchanged
203891	Blue Star Museum Survey 2012 Form and Instruction	Unchanged
203799	Assessment of Needs for Data Portal Part 2 Form and Instruction	Unchanged
203513	Assessment of Needs for Data Portal Form and Instruction	Unchanged
203386	Request for Grantee Feedback from the Audience Affected Survey (Pilot Study) Form and Instruction	Unchanged
202000	Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study Form and Instruction	Unchanged
200746	Our Town Indicators Study Form and Instruction	Unchanged
200734	Our Town Study Interview Protocol Form and Instruction	Unchanged
200666	Your Town Focus Groups Form and Instruction	Unchanged
200573	Pilot Study Audience Affected Survey_Exhibitions and Film Events Form and Instruction	Unchanged
200404	Pilot Study Audience Affected Survey_Live Performances Form and Instruction	Unchanged
199712	State Arts Agency and Regional Arts Organization Data Management Survey 2011 Form and Instruction	Unchanged
199152	Blue Star Museums Participant Survey Form and Instruction	Unchanged
198487	Education Leaders Institute Survey Form and Instruction	Unchanged

ICR Details

OMB Control No: 3135-0130	ICR Reference No: 201301-3135-001
Status: Historical Active	Previous ICR Reference No: 201112-3135-002
Agency/Subagency: NEA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/18/2013
	Date Received in OIRA: 01/16/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	04/30/2014	04/30/2014
Responses	74,091	0	7,091
Time Burden (Hours)	8,391	0	3,558
Cost Burden (Dollars)	55,333	0	55,333

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Abstract: This collection of information is necessary to enable NEA 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.

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Authorizing Statute(s): US Code: 20 USC 954 Name of Law: National Foundation on the Arts and Humanities Act of 1965
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 245	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 5705	03/14/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

IC Title	Form No.	Form Name
Blue Star Museum Survey 2012	1	Blue Star Museum Participant Survey
Assessment of Needs for Data Portal Part 2	1	1
Assessment of Needs for Data Portal	1, 2, 3, 4	Portal Interview Questions - Exec ,   Portal Interview Questions - GMS ,   Portal Interview Questions - Grant Officers ,   Portal Interview Questions - Focus Groups
Blue Star Museums Participant Survey	N/A	Blue Star Museums Participant Survey Summer 2011
Our Town Study Interview Protocol	1	Round 1 Interview Protocol
Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)	1	NEA Affect Study_2nd Wave of Feedback from Grantees
Your Town Focus Groups	1	Interview protocol
State Arts Agency and Regional Arts Organization Data Management Survey 2011	N/A	State Arts Agency and Regional Arts Organization Data Management Survey 2011
Pilot Study Audience Affected Survey_Live Performances	8, 9, 10, 6, 7, 2, 5, 1, 3, 4	Dance_Online_Questionnaire_Pilot-Audience Affected Survey ,   Dance_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey ,   Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Music_Online_Questionnaire_Pilot-Audience Affected Survey ,   Music_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Opera_Online_Questionnaire_Pilot-Audience Affected Survey ,   Opera_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Theater_Online_Questionnaire_Pilot-Audience Affected Survey ,   Theater_Paper_Questionnaire_Pilot-Audience Affected Survey
Arts Education Managers' Professional Development Institute Evaluation	1	Arts Ed Institute Survey
2013 Blue Star Museums Participant Survey	1	2013 Blue Star Museum Participant Survey
Our Town Indicators Study	1	OTI Task 4_Round 1_Interview Protocol_omb_submit
Design for Accessibility Survey 2 11-30-12 - private	1	1
Data Portal Web Survey	1	Data Portal Web Survey
Design for Accessibility Needs Assessment Survey	1	Design for Accessibility Needs Assessment Survey
Education Leaders Institute Survey	N/A	ELI 6 Survey
Pilot Study Audience Affected Survey_Exhibitions and Film Events	2b, 1a, 1b, 2a	Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey ,   Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Film_Online_Questionnaire_Pilot-Audience Affected Survey ,   Film_Paper_Questionnaire_Pilot-Audience Affected Survey
Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study	1	Request for Grantee Feedback

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ICR Summary of Burden

	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	74,091	7,091	0	0	67,000	0
Annual Time Burden (Hours)	8,391	3,558	0	0	4,833	0
Annual Cost Burden (Dollars)	55,333	55,333	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $55,333

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/16/2013

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