Generic Submission Form

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 1670-0027)

T ITLE OF INFORMATION COLLECTION: NPPD Customer Service Survey

PURPOSE: The purpose of the National Protection and Programs Directorate (NPPD) Customer Service survey is to gauge the level of satisfaction that customers have regarding the quality and effectiveness of the products, programs, or services provided within NPPD. Customer service is about delivering a quality product, effective communication, accountability, portraying a positive attitude, and responding in a timely manner. NPPD will make it a priority to provide quality customer service in a timely manner, anticipate customer needs, and continue to be a value-added consultant while inspiring the highest level of customer trust.

NPPD will conduct qualitative trend analysis of the aggregate data only and develop a summary report of findings that will be provided to NPPD managers and leadership and to the NPPD Director of Management upon request to assist in finding opportunities for recognition or improvement.

DESCRIPTION OF RESPONDENTS: Respondents may include but are not limited to: industry, academia, employees, managers, leadership, and other DHS or Federal Government agency staff (either internal or external) that interact with NPPD. Completion of the survey is voluntary therefore; it is at the discretion of the respondent to provide feedback.

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: Molly Stasko, OUS

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 n/a

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No n/a

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 estimate	Annual Burden Cost
Federal Government	n/a	n/a	n/a	n/a
Private sector	1000/year	0.05 Hours (3 Minutes)	50 hours	$ 1,670
Totals	1000/year	0.05 Hours (3 Minutes)	50 Hours	$ 1,670

The above Average Hourly Wage Rate is the May 2016 Bureau of Labor Statistics average wage for “All Occupations” of $23.86 times the wage rate benefit multiplier of 1.4 (to account for fringe benefits) equaling $33.40. The selection of “All Occupations” (for example) was chosen as the expected respondents for this collection could be expected to be from any occupation.

FEDERAL COST: The annual cost to the Federal government is $1,844.75 /year

It is estimated that 1 manager at a GS level 15, Step 1 will spending approximately 1% of their time (2080 annual working hours x 1% = 20.8 hours) annually to review, analyze, and assimilate survey responses.

Using the FY17 (Washington-Baltimore-Northern Virginia) GS pay scale, the fully-loaded wage rate for a GS15, Step 1 is $ 88.69 ($ 131,767 annual salary/2080 = $63.35 base wage rate x 1.4 benefit multiplier = $ 88.69 fully-loaded wage rate).

The annual government cost is estimated to be $ 1,844.75(20.8 hours annually x $88.69 = $1,844.75).

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? [ ] Yes [X] 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 intend to provide a link to the survey in the signature block of team members' email messages.

Recipients are determined by standard distribution lists dependent upon product type.

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

NPPD will ensure that respondents’ IP addresses are not collected by ensuring that the Survey Monkey settings are updated to opt out of collecting this information.

[ ] Telephone

[ ] In-person

[ ] Mail

[X] Other, Explain: Paper

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

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

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