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

ICR 202007-0990-001

OMB: 0990-0379

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2020-07-10
Supplementary Document
2020-07-10
Justification for No Material/Nonsubstantive Change
2015-03-03
Supporting Statement B
2014-07-02
Supporting Statement A
2020-08-11
Supplementary Document
2011-06-14
ICR Details
0990-0379 202007-0990-001
Active 201708-0990-001
HHS/HHSDM
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Extension without change of a currently approved collection   No
Regular
Approved with change 08/12/2020
Retrieve Notice of Action (NOA) 07/13/2020
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
08/31/2023 36 Months From Approved 09/30/2020
420,000 0 3,000,000
70,000 0 500,000
0 0 0

This collection of information is necessary to enable HHS 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 HHS programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  85 FR 26485 05/04/2020
85 FR 41056 07/08/2020
No

  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 420,000 3,000,000 0 0 -2,580,000 0
Annual Time Burden (Hours) 70,000 500,000 0 0 -430,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$300,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Gloria Barnes 202 690-7047 gloria.barnes@hhs.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/13/2020


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