Submission Request for Let Spinners Sleep Survey

Let Spinners Sleep.Submission Request.060414.doc

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

Submission Request for Let Spinners Sleep Survey

OMB: 0690-0030

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”

OMB Control No. 0690-0030

Straight Connector 1

TITLE OF INFORMATION COLLECTION: “Let Spinners Sleep” Educational Products and Services Survey

PURPOSE: The information gained from this survey will help NOAA Fisheries, Pacific Islands Regional Office, Protected Resources Division understand the extent that to which “Let Spinners Sleep” Spinner Dolphin Student Activity Guide is being used by Guam teachers; and learn how we can improve and potentially expand the “Let Spinners Sleep” educational products and services.


DESCRIPTION OF RESPONDENTS: All respondents are teachers in Guam. The teachers and some of their students attended a presentation on spinner dolphins in September of 2013, and participated in a grade-appropriate activity related to spinner dolphins led by NOAA Fisheries staff and partners. Respondents were also given the “Let Spinners Sleep” Spinner Dolphin Student Activity Guide.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [x] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus 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.


Name:_____ Laura McCue___________________________________________


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [x] No

  2. If Yes, will any information that is collected be included in records that are subject to the

Privacy Act of 1974? [ ] Yes [ ] No

  1. If Yes, has an up-to-date System of Records Notice (SORN) 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

No. of Respondents

Participation Time

Burden

Hours

Private Sector (private school teacher)

1

10 minutes

10 minutes

State agency (public school teachers)

23

10 minutes

3.80 (4)

Federal agency

17

10 minutes

2.8 (3)

Totals

40

40 minutes

7 Hours


FEDERAL COST: The estimated annual cost to the Federal government is: ~ $40


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?


We will give the survey to all the teachers in Guam who attended the spinner dolphin presentation in September of 2013, and received a “Let Spinners Sleep” Student Activity Guide and materials. The survey will be given to the entire population (40).

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

[ x] Mail

[ ] Other, Explain


  1. Will interviewers or facilitators be used? [ ] Yes [x ] No


Please make sure that all instruments, instructions, and scripts are submitted with the request.

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File Typeapplication/msword
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified2014-06-04
File Created2014-06-04

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