FastTrack GenIC - NCECQA LEP Survey

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0401)

TITLE OF INFORMATION COLLECTION: National Center on Early Childhood Quality

Assurance Licensing Expert Panel (LEP) Survey

PURPOSE: The Administration for Children and Families (ACF) Office of Child Care (OCC) is seeking approval to collect feedback from recipients participating in a Licensing Expert Panel (LEP). The LEP is hosted by the National Center on Early Childhood Quality Assurance (NCECQA). NCECQA is a National Center funded by OCC through a contract with ICF. NCECQA provides research-informed/evidence-based T/TA via a range of services, including universal, targeted, and tailored service delivery using formats approved by the COR and in alignment with other OCC Early Childhood T/TA System Centers.

Survey information will be used to determine opportunities to improve the quality of the NCECQA Licensing Expert Panel experience for participants.

DESCRIPTION OF RESPONDENTS: Respondents include government (state, tribal, organizations, U.S. territories) employees, non-government statewide organizations, and non-government local or regional organizations.

TYPE OF COLLECTION:

[ ] 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 primary purpose of the results is not for public dissemination.

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 and affiliation: Leatha Chun, Contracting Officer’s Representative for NCECQA

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

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? [ ] Yes [x] No

BURDEN HOURS

Information Collection	Category of Respondent	No. of Respondents	No. of Responses per Respondent	Estimated Time per Response	Burden Hours
Licensing Expert Panel Feedback Survey	State, local, or tribal government and Private Sector	15	2 (mid-year and end of year)	3 minutes	1.5

FEDERAL COST: The estimated annual cost to the federal government as included in the firm fixed price budget in the labor allocation by task and awarded under contract # and task order GS-00F-010CA/75ACF122F80020 is $307.40 mid-year survey and $307.40 year end survey= 614.80*

*twice yearly = 614.80

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 universe of potential respondents consists of individuals who are part of the current year’s LEP. Survey questions will be provided through an electronic link. This is a voluntary survey.

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? [ ] Yes [x] No

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

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