Mobile Asphalt Technology Center (MATC) Customer Satisfaction Listening Calls

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2125-0628)

TITLE OF INFORMATION COLLECTION:

FHWA Mobile Asphalt Technology Center (MATC) Customer Satisfaction Listening Calls

PURPOSE:

To inform development of the MATC Marketing Plan by better understanding the MATC audience and stakeholder perspective of the quality of MATC service.

DESCRIPTION OF RESPONDENTS:

MATC stakeholders – including those who are familiar with MATC and those who are less familiar with MATC services

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [XX] 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:____Leslie McCarthy________________________________

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

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [XX] No (it is self-identified)

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 [ XX] No

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time	Burden
MATC Stakeholder (DOT, LPA, Paving Association Consultant, paving contractor, paving supplier, LTAP)	20	20 mins	400
Totals			400 mins or 7 hrs

FEDERAL COST: The estimated annual cost to the Federal government is __$0.00_______

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? [XX ] 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?

Respondents have been identified by FHWA COR for the MATC and the MATC team members. There is not sampling plan, the first 20 respondents will be recorded and target 2-3 people from each stakeholder category.

Administration of the Instrument

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

[ ] Web-based or other forms of Social Media

[ XX] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

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

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