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

Forms and Documents

Document Name	Status
Recruiting Event Attendance Form Form	New
Recruiting Event Feedback Questionnaire Form	New
Form Enclosure 1 American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews Form and Instruction	New
FY2020 Known Respondent Focus Groups Form and Instruction	New
Recruiting Event Attendance Form (campus or professional organization events) Form	New
Recruiting Event Feedback Questionnaire Form	New
Sea-Run, Go! Activity Evaluation Form	New
BroadbandUSA Webinar Feedback Survey Form	New
Form Form American Community Survey Customer Feedback Form Form	New
Form Survey Trade Adjustment Assistance for Firms (TAAF) Firm Satisfaction Survey - Pilot Form and Instruction	New
Event Participant Evaluation Form Form	New
Generic Clearance Submission Template FINAL.doc Supplementary Document	2017-06-16
0690.0030.SuppStmt.Part B.052017.doc Supporting Statement B	2017-06-15
0690.0030.SuppStmt.052017.doc Supporting Statement A	2017-06-15

IC Document Collections

IC ID	Document Title	Status
240033	Recruiting Event Attendance Form Form	New
240027	Recruiting Event Feedback Questionnaire Form	New
238804	EDA Customer Satisfaction Applicant Survey Other-EDA Customer Satisfaction Applicant Survey	New
238783	EDA Grantee Customer Satisfaction Survey Other-Grantee Satisfaction Survey	New
238535	Measuring Digital Services Related to the Machinery Sector Instruction	New
238133	Measuring Digital Services Related to the Machinery Sector Instruction	New
238103	American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews Form and Instruction	New
238005	Office of Human Capital Services (OHCS) Customer Engagement Survey Other-Survey	New
238000	FY2020 Known Respondent Focus Groups Form and Instruction	New
236174	Recruiting Event Attendance Form (campus or professional organization events) Form	New
236173	Recruiting Event Feedback Questionnaire Form	New
236058	Economic Surveys Roundtable Discussions Other-Moderator Guide	New
235877	Sea-Run, Go! Activity Evaluation Form	New
235197	Evaluation of Different Qualitative Pretesting Methods Other-Study Design	New
235087	2020 Census website release 1 tree testing Other-Instrument Screenshots	New
235086	American Community Survey (ACS) Survey Mail Materials Eye-tracking Study Instruction	New
234602	2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews Other-ACS Fifth Mailing	New
232960	2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews Instruction	New
231655	NOAA Fisheries Usability Test Other-NMFS Usability Questions	New
230639	BroadbandUSA Webinar Feedback Survey Form	New
230244	Electronic Export Shipment Information Other-Knowledge Check	New
229408	American Community Survey Customer Feedback Form Form	New
228632	Trade Adjustment Assistance for Firms (TAAF) Firm Satisfaction Survey - Pilot Form and Instruction	New
228278	Evaluations for soliciting feedback on Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) elementary-middle and middle-high school educational kits Other-Comment Form	New
227940	Online Comments Regarding the Uses of the Enhanced Magnetic Field Model Other-Survey	New
227710	Event Participant Evaluation Form Form	New
227709	ITA Brand and Identity Customer Satisfaction Survey Other-Customer Satisfaction Survey Questions	New
227707	ITA Brand and Identity Review - Focus Groups Other-Focus Group Questions Current Customers	New

ICR Details

OMB Control No: 0690-0030	ICR Reference No: 201705-0690-001
Status: Historical Active	Previous ICR Reference No: 201402-0690-001
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: 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: 07/25/2017
	Date Received in OIRA: 06/16/2017
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	07/31/2020	36 Months From Approved	07/31/2017
Responses	244,710	0	244,710
Time Burden (Hours)	75,711	0	75,711
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 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): None

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:
	82 FR 14872	03/23/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24675	05/30/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 28

IC Title	Form No.	Form Name
Online Comments Regarding the Uses of the Enhanced Magnetic Field Model
Trade Adjustment Assistance for Firms (TAAF) Firm Satisfaction Survey - Pilot	Survey	TAAF Firm Satisfaction Survey Pilot
Evaluation of Different Qualitative Pretesting Methods
2020 Census website release 1 tree testing
Sea-Run, Go! Activity Evaluation	None	Sea-Run, Go! Activity Evaluation
Office of Human Capital Services (OHCS) Customer Engagement Survey
Recruiting Event Feedback Questionnaire	None	Recruiting Event Feedback Survey
Recruiting Event Attendance Form (campus or professional organization events)	None	Recruiting Event Attendance Form (Professional Event)
Recruiting Event Feedback Questionnaire	None	HRD Recruiting Event Questionnaire
Recruiting Event Attendance Form	None	Census FY20 Fast Track Generic Clearance Request HRD Recruiting Event Attendance Form
Evaluations for soliciting feedback on Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) elementary-middle and middle-high school educational kits
Economic Surveys Roundtable Discussions
ITA Brand and Identity Customer Satisfaction Survey
Electronic Export Shipment Information
NOAA Fisheries Usability Test
American Community Survey (ACS) Survey Mail Materials Eye-tracking Study	NA	Consent Form
FY2020 Known Respondent Focus Groups	None	FY2020 Econ Focus Groups Moderator Guide and Participant Screener
ITA Brand and Identity Review - Focus Groups
American Community Survey Customer Feedback Form	Form, Survey	ACS Feedback Form ,   ACS Data or User Survey
2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	None, None, None	2018 American Community Survey ,   Draft 2020 Census Questionnaire ,   Consent Form
Measuring Digital Services Related to the Machinery Sector
Measuring Digital Services Related to the Machinery Sector
EDA Grantee Customer Satisfaction Survey
Event Participant Evaluation Form	NA	Event Participant Evaluation Form
BroadbandUSA Webinar Feedback Survey	None	Survey
2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Questionnaire, None	Consent Form ,   ACS Questionnaire
EDA Customer Satisfaction Applicant Survey
American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews	Enclosure IV, Enclosure 1	ACS Strategic Framework Mailing Materials ,   Consent Form

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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	244,710	244,710	0	0	0	0
Annual Time Burden (Hours)	75,711	75,711	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: $0

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: 06/16/2017

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