Fast Track Cover Letter

Request for Approval

TITLE OF INFORMATION COLLECTION: GroupSolver’s Testing of Data Usage Agreement

PURPOSE: This planned evaluation is an online test of a proposed Data User Agreement for users of the Census Bureau’s Public Use Microdata Sample. The goal is to both evaluate this methodology as well as collect substantive findings on the data use agreement. The planned evaluation will focus on clarity of the language used and understanding of the agreement.

DESCRIPTION OF RESPONDENTS: A sample of the U.S. General Public for whom we have an email address or are provided by the vendor.

TYPE OF COLLECTION: (Check one)

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

[x] 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: ________________________________________________

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

3. 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
Remote Interviews	600	10 mins	100 hrs

FEDERAL COST: The estimated annual cost to the Federal government is $5,000.

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

We propose to collect data from 600 respondents, who will be sourced by both GroupSolver’s panel partners and by the US Census Bureau. The respondent breakdown will be as follows:

• 100 general population respondents. 50 of these respondents will be supplied by GroupSolver and the other 50 by the US Census Bureau.

• 100 general population respondents screened in because they consider privacy an important concern. 50 of these respondents will be supplied by GroupSolver and the other 50 by the US Census Bureau.

• 200 general population respondents screened in because they who have used data for school or work. 100 of these respondents will be supplied by GroupSolver and the other 100 by the US Census Bureau.

• 200 client data users (Provided by the US Census Bureau – data users who have agreed to participate in research studies)

For all general population sample from the Census Bureau, staff from the Center for Administrative Records Research and Applications (CARRA) will sample email addresses from 20,000 MAFIDS in the Contact Frame. We expect to achieve a 2% response rate, determined by experience with other recent studies, with a goal of 400 general population completes for this study.

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:

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

3. Line of Business – General Government

4. Subfunction - Central Records & Statistical Mgt

5. Number of Respondents for small entity – 0

6. Affected Public – Individuals and Households

7. Percentage of respondents reporting electronically – 100%

Please submit all instruments, instructions, correspondences (emails, letters, etc.) to respondents, and scripts as separate documents along with this request document.

Every instrument must have the following displayed –

OMB Control No. 0690-0030

Expiration Date: 6/30/17