Generic Submission Form

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 1545-2274)

TITLE OF INFORMATION COLLECTION:

FY23 Pretesting of Wage & Investment (W&I) Taxpayer Experience Survey (TES)

PURPOSE:

The objective of this task is to conduct cognitive testing of items for the Taxpayer Experience Survey. Some items are new, some are updated, and some are longstanding items in need of review.

Cognitive testing is a technique used in survey design to uncover any underlying comprehension or retrieval problems among the relevant respondent population. The results of cognitive testing may lead to revisions of survey questions and changes in question order to enhance response rates, respondent comprehension, and data quality.

DESCRIPTION OF RESPONDENTS:

The cognitive interview participants are recruited through the National Research Opinion Center’s (NORC) AmeriSpeak Panel. Panel members are eligible to participate if they can report who prepared their income tax return and are at least somewhat familiar with their return.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[] Focus Group [x] Other: Cognitive testing of survey items______________________

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:___David K. Swafford_________________________

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

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? [ x ] Yes [ ] No

The contractor will provide a point stipend to each pretest participant that is worth $75.

The justification for this is that without it, the contractor may not be able to attract subjects to participate in this study. Offering incentives for participating in this type of research is a standard industry practice.

BURDEN HOURS

Burden Hours
Category of Respondent	No. of Respondents	Participation Time	Burden Hours
Recruitment Screening – Non-participants	933	0 minutes	0
Recruitment Screening – Qualified Participants	280	5 minutes	23
Interview	28	60 minutes	28
Totals			51  hrs.

Total Burden Hours: 51

FEDERAL COST: The estimated annual cost to the Federal government is _$46,541

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? [x ] 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?

The cognitive interview participants will be recruited through the National Research Opinion Center’s (NORC) AmeriSpeak Panel. First, NORC will send select panel members an email that contains a link to a short online survey to screen for eligibility to participate in the cognitive interviews. Participants will be deemed eligible to participate if they can report who prepared their income tax return and are at least somewhat familiar with their return. If eligible and interested in participating in an interview, participants will indicate when they can participate among the dates and timeslots available (from 9 a.m. to 6 p.m. ET Monday thru Friday during the interview period). NORC will then compile a list of eligible participants, from which ICF staff will select those to invite to participate.

The contractor will conduct the interviews by Microsoft Teams to ensure that respondents understand the questions correctly and clearly, and to test the flow of the question set. The contractor will question 28 participants; that quantity is sufficient to explore relevant themes discovered through analysis of the survey data.

Administration of the Instrument

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

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

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

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

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

Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)

PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.

DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.

TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.

CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.

Personally Identifiable Information: Provide answers to the questions. Note: Agencies should only collect PII to the extent necessary, and they should only retain PII for the period of time that is necessary to achieve a specific objective.

Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.

BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households; (2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected per row.

No. of Respondents: Provide an estimate of the Number of Respondents.

Participation Time: Provide an estimate of the amount of time (in minutes) required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of Respondents and the Participation Time then divide by 60.

FEDERAL COST: Provide an estimate of the annual cost to the Federal government.

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. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.

Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.

Submit all instruments, instructions, and scripts are submitted with the request.

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