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

Forms and Documents

Document Name	Status
Cooperative Weed Management Area Program Delivery Feedback Form	New
Alaska Region Partnership Assessment - Federal Government Form	New
Alaska Region Partnership Assessment - State/Local/Tribal Government Form	New
Alaska Region Partnership Assessment - Private Sector Form	New
Form FS-1600-21 Research Publication Comment Cards Form and Instruction	New
Form FS-GT-1600-3 Grey Towers Event Comment Card Form FS-GT-1600-3 Form	New
Form FS-GT-1600-2 Grey Towers Conservation Education Program Evaluation Form FS-GT-1600-2 Form	New
Form FS-GT-1600-1 Grey Towers Conference Services Evaluation Questionnaire Form FS-GT-1600-1 Form	New
0596-0226 Fast-TrackGenericSubmissionTemplate v06-18-2014.docx Supplementary Document	2014-06-18
0596-0226 2014 Generic Clearance SuptStmt B v06-11-2014.docx Supporting Statement B	2014-06-10
0596-0226 2014 Generic Clearance SuptStmt A V06-18-2014.docx Supporting Statement A	2014-06-18

IC Document Collections

IC ID	Document Title	Status
217987	Cooperative Weed Management Area Program Delivery Feedback Form	New
217614	Alaska Region Partnership Assessment - Federal Government Form	New
217613	Alaska Region Partnership Assessment - State/Local/Tribal Government Form	New
217611	Alaska Region Partnership Assessment - Private Sector Form	New
211955	2014 Type 2 1A & type 2 Crew Utilization and Fire Shelter Design Surveys Other-Online Survey	New
211954	Research Publication Comment Cards Form and Instruction	New
211953	Grey Towers Event Comment Card Form FS-GT-1600-3 Form	New
211952	Grey Towers Conservation Education Program Evaluation Form FS-GT-1600-2 Form	New
211948	Grey Towers Conference Services Evaluation Questionnaire Form FS-GT-1600-1 Form	New

ICR Details

OMB Control No: 0596-0226	ICR Reference No: 201406-0596-002
Status: Historical Active	Previous ICR Reference No: 201105-0596-001
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Forest Service Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/16/2015
	Date Received in OIRA: 06/25/2014
Terms of Clearance: 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
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	3,500,000	0	3,500,000
Time Burden (Hours)	875,000	0	875,000
Cost Burden (Dollars)	0	0	0

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Abstract: 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 committment to improving service delivery. These collections will allow for ongoing, collaborative and actionable communication between the agency and its customers and stakeholders, allowing feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	79 FR 12146	03/04/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 35996	06/25/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Cooperative Weed Management Area Program Delivery Feedback	None	Cooperative Weed Management Area Feedback
Grey Towers Conservation Education Program Evaluation Form FS-GT-1600-2	FS-GT-1600-2	Grey Towers Conservation Education Program Evaluation
Grey Towers Event Comment Card Form FS-GT-1600-3	FS-GT-1600-3	Grey Towers Event Comment Card
Research Publication Comment Cards	FS-1600-21, none	PNW Reader Response Card ,   SRS Reader Response Website
Alaska Region Partnership Assessment - Federal Government	None	Alaska Region Partnership Assessment
Alaska Region Partnership Assessment - State/Local/Tribal Government	None	Alaska region Partnership Assessment
2014 Type 2 1A & type 2 Crew Utilization and Fire Shelter Design Surveys
Grey Towers Conference Services Evaluation Questionnaire Form FS-GT-1600-1	FS-GT-1600-1	Grey Towers Conference Services Evaluation Questionaire
Alaska Region Partnership Assessment - Private Sector	None	Alaska Region Partnership Assessment

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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	3,500,000	3,500,000	0	0	0	0
Annual Time Burden (Hours)	875,000	875,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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:

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: 06/25/2014

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