Justification for Submission

DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

JUSTIFICATION FOR SUBMISSION UNDER THE
“DOI PROGRAMMATIC CLEARANCE FOR
CUSTOMER SATISFACTION SURVEYS”

See Page 5 for Instructions on Completing This Form
1. Bureau/Office
Office of Policy

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

2. Date Submitted

3. Survey Title

US Department of the Interior (DOI) Partner Satisfaction Survey: DOI Invasive Species Program
4. Abstract (Not to exceed 150 words)

This survey is intended to measure progress towards meeting a goal of collaborating across Interior and with others to optimize
operations through leveraging partnerships, joint educational efforts, and shared funding to advance invasive species management.
The aspect of this goal we are interested in assessing is "leveraging partnerships."
The information collected will be used to develop a benchmark understanding of partner satisfaction with their partnership
(collaboration) with DOI bureaus and offices in implementing invasive species management activities carried out under numerous
statutes. Collected data will be used to inform and improve DOI's future engagement with partners to advance invasive species
initiatives of mutual interest. This includes gaining a better understanding of:
• Service needs of partners,
• Strengths and weaknesses of services,
• Ideas or suggestions from our partners for improvement of services,
• Barriers to achieving partner service standards,
• Baselines to measure change in improving service delivery over time, and
• Improving public trust in government.
In the context of this survey, partner means groups or individuals, Tribes, and government agencies (federal (non-DOI) and
non-federal entities) who are engaged in helping DOI accomplish its mission, or with whom DOI has a joint responsibility/mission, with
respect to invasive species management.

5. Bureau/Office Point-of-Contact Information
First Name

Last Name

Hilary

Smith

Title

Bureau/Office

Senior Advisor for Invasive Species

Office of Policy Analysis

Mailing Address

City

1849 C St NW

Washington

Phone

202-763-3118

✔
✔

Work
Cell

Fax

State
DC

Zip Code
20240

Email

hilary_smith@ios.doi.gov
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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

6. Principal Investigation (PI) Point-of-Contact Information
First Name

Last Name

Same as #4
Title

Bureau/Office

Mailing Address

City

Phone

Work
Cell

Fax

State

Zip Code

Email

7. Name of Program or Office Conducting Survey
Office of Policy Analysis
8. Description of Customers and Services Provided

In the context of this survey, customers are partners, which means groups or individuals, Tribes, and government agencies (federal
(non-DOI) and non-federal entities) who are engaged in helping DOI accomplish its mission, or with whom DOI has a joint
responsibility/mission, with respect to invasive species management.
More specifically, partners may include federal or non-federal and governmental or non-governmental entities (e.g., State, Tribal,
Insular, or local governments; academic institutions; non-governmental organizations; industry groups; community groups)
collaborating with one more DOI bureaus and offices on invasive species management activities. Activities include those such as
prevention, early detection and rapid response, control or eradication, education and outreach, research and monitoring, or other
activity to stop the introduction, establishment, spread, and harm caused by invasive species. The focus of these activities may be on
or off DOI-managed lands and waters, and may be implemented at multiple scales (international to local).
Invasive species is federally defined as non-native organisms whose introduction causes or is likely to cause economic or
environmental harm, or harm to human, animal, or plant health.

9. Survey Dates

(mm/dd/yyyy)

(mm/dd/yyyy)
to

10/20/2025

11/05/2025

10. Type of Information Collection Instrument (Check ALL that Apply)
Intercept

Telephone

Focus Groups

Other: (Explain) email

Mail

Web-based

Comment Cards

11. Survey Development (Who assisted in survey content development statistics? Was the survey pretested? How did you
integrate improvements? Which of the six topic areas did you address?)
To develop the survey design, the Office of Policy Analysis's Senior Advisor for Invasive Species coordinated with invasive species
program leads from multiple bureaus and offices through the Department's Invasive Species Task Force and consulted with
colleagues from the Office of Planning and Performance Management and within the Office of Policy Analysis.
Questions were informed by reviewing other customer satisfaction surveys and also tailoring it to the types of work flows and services
typical of invasive species management (e.g., collaboration at multiple scales, employing a variety of coordinating mechanisms,and
across activities). Questions were developed based on the Likert scale for formulating non-bias survey questions.
The survey was reviewed and tested by representatives from the DOI Invasive Species Task Force and Office of Planning and
Performance Management. The survey was also reviewed within the Office of Policy Analysis. Modifications were made for clarity,
order of questions, incorporation of the duration of the review period (within the last five years), incorporation of a question on the role
of the respondent, and copyedits.
The questions gather information on the following areas: 1) Delivery and quality of information and services, 2) Management
Practices, 5) Interactions with DOI personnel, and 6) General demographics.

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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

12. Survey Methodology (Use as much space as needed; if necessary, include additional explanation on separate page.)
12A. Respondent Universe

The respondent universe is defined as any partner engaged in helping DOI accomplish its mission, or with whom DOI has a joint
responsibility/mission, with respect to invasive species management. Because DOI collaborates with a multitude of partners, a subset
of partners will be surveyed yet is anticipated to represent the broader respondent universe. The subset will generally focus on those
partners where some kind of agreement is in place (e.g., memorandum of understanding, cooperative agreement, interagency
agreement, grant); however, bureau and offices collaborating with partners without formal agreements may also be included.

12B. Sampling Plan/Procedure

The information collection will use an estimated sample size of 100. Each bureau and office involved in invasive species activities that
partner with other entities will be asked to provide 10-20 partners (names, organization, and emails) to whom the survey will be
emailed. Some bureaus may have more, some fewer.
Bureaus and offices will be asked to ensure partner representation across categories of potential respondents, including geographies,
scale of partnership (international to local, as appropriate), mechanisms of collaboration (e.g., memorandum of understanding,
cooperative or interagency agreements, grants), and entities represented (e.g., governmental, non-governmental), and within the last
five years. Because bureaus may partner with the same entity, the list will be crosschecked for duplication prior to distribution.

12C. Instrument Administration
The information collection instrument will rely on email. The first contact will include an email from the DOI Senior Advisor for Invasive
Species explaining the survey, its importance, the deadline, and a link to the survey. The link will send respondents to a web-based
Microsoft Form to submit responses.
If the partner collaborates with more than one bureau, when they submit the survey, a message will appear requesting that if they
work with another bureau or office to consider completing another survey. This is because partner experiences may vary among
bureaus or office. Responses by bureau or office would help to pinpoint where strengths are or improvements are needed. NOTE:
This is why in question 13b1 and 13b2 there is a variation between # of unique respondents (100) and # of respondents (130). It
accounts for respondents completing the survey for multiple bureaus and offices.
The second contact will be an email reminding them to complete the survey by the deadline in the first contact. It will be provided 7
days following the first contact. Due to the anonymity of respondents, the email will be sent to all potential respondents.
The third contact will be a final reminder to complete the survey by the deadline identified in the first contact. It will be provided the
day before the deadline to respond. Due to the anonymity of respondents, the email will be sent to all potential respondents.

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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

12D. Expected Response Rate and Confidence Levels

The response rate is expected to be 60-70% based on the existing cadence of partner engagement and communication. Partners
receiving the survey should have substantive working relationships with bureaus and offices, which may make partners more inclined
to respond.

12E. Strategies for dealing with potential non-response bias
The primary method that will be used to address potential non-response bias is by sending multiple reminders to encourage
participation and yield as much of a response as possible.
In addition, results will be evaluated based on characteristics of the sample (bureaus and offices, geographies, scale of partnership
(international to local, as appropriate), mechanisms of collaboration (e.g., memorandum of understanding, cooperative or interagency
agreements, grants), and entities represented (e.g., governmental, non-governmental)). If results do not appear to reflect the nature of
the full respondent universe, the interpretation of results will be modified accordingly.

12F. Description of any pre-testing and peer review of the methods and/or instrument (recommended)

The survey was reviewed and internally tested by representatives from the DOI Invasive Species Task Force and Office of Planning
and Performance Management. We also consulted within the Office of Policy Analysis (within which this survey originated).
Modifications were made for clarity, order of questions, incorporation of the duration of the review period (within the last five years),
incorporation of a question on the role of the respondent, and copy edits.
No additional pre-testing was conducted.

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OMB Control. No. 1040-0001
Expiration Date 01/31/2028

DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

13. Burden Hours Calculations

13b. Number of
Annual Respondents

13a. Category of Respondent

13c. Number of 13d. Total Annual
Responses Each
Responses

13e. Time per
Response

13f. Total
Burden Hours

13a1. Initial Contact

13b1.

100

13c1.

1

13d1.

1

13e1.

2 mins

13f1.

3.3

13a2. Completion of Survey Instrument

13b2.

130

13c2.

1

13d2.

1

13e2.

5 mins

13f2.

10.8

13d3.
13f3.
230
13a3. Totals: 13b3.
1
14. Federal Enterprise Architecture (FEA) Business Reference Model (Check only one “Line of Business” and one
“Subfunction.” Refer to OMB guidance “FEA Consolidated Reference Model Document Version 2.3”)

14.1

Line of Business

Subfunction

Community and
Social Services
Defense and
National Security
Economic
Development

(Select One)

Line of Business

Subfunction

(Select One)

Correctional
Activities
Disaster
Management

(Select One)

Education

(Select One)

Energy

(Select One)

(Select One)

General Science
and Innovation

Environmental
Management

(Select One)

Health

(Select One)

Homeland Security

(Select One)

Income Security

(Select One)

Intelligence
Operations

International Affairs
(Select One)
and Commerce
Litigation and
(Select One)
Judicial Activities
Conservation,
(Select One) Marine and Land ManagementTransportation

Law Enforcement
Natural Resources
Workforce
Management
15. Reporting Plan

(Select One)
(Select One)

(Select One)
(Select One)
(Select One)

(Select One)

Information collected will be aggregated and organized for cross-tabulation by bureau, by question,
and by write in feedback. Results will be used for producing a baseline understanding of how the
bureau and office partners' perceive, and are satisfied with, DOI's collaboration in meeting
expectations of the partnership. The analysis of feedback will be shared with bureaus and offices,
specifically through the DOI Invasive Species Task Force, and used in reporting of accomplishments
for Fiscal Year 2025, to inform individual bureau and office partnership engagement strategies, and
to inform future DOI invasive species management planning efforts.

16. Justification, Purpose, and Use
16A. Survey Justification and Purpose

The purpose of the survey is to measure the extent to which partners of DOI bureaus and offices are satisfied with bureau and
office engagement with them in meeting the goals of that partnership, with respect to invasive species management activities.
The justification is that invasive species management activities often require interjurisdictional approaches and involvement
across sectors. Collaboration and partnerships are fundamental to success. This survey will be the first assessment of this
kind to measure satisfaction with DOI bureau and office partnerships in invasive species management.
The information will be used to develop a benchmark understanding of that satisfaction. Data will be used to improve the
service, products, and activities of bureaus and offices, and to identify suggestions for improving bureau and office ability to
fulfill their mission through collaboration with partners into the future, with respect to invasive species management activities.
Specifically, a summary of the analysis will be used in the reporting of accomplishments for Fiscal Year 2025, to inform
individual bureau and office partnership engagement strategies, and to inform future DOI invasive species management
planning efforts.

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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

16B. Survey Goals

The survey goals are to measure the extent to which partners of DOI bureaus and offices are
satisfied with bureau and office engagement with them in meeting the goals of that partnership, with
respect to invasive species management activities; and to analyze and apply information collected to
improve DOI's partnership engagement where needed.

16C. Utility to Managers

The utility to managers will be direct feedback to them on their partner engagement and specific
suggestions on what to continue (based on input on what is going well) and areas for improvement
(based on input on what could be improved).

16D. How will the results of the survey be analyzed and used?

Information collected will be aggregated and organized for cross-tabulation by bureau, by question,
and by write in feedback. Results will be used for producing a baseline understanding of how the
bureau and office partners' perceive, and are satisfied with, DOI's collaboration in meeting
expectations of the partnership. The analysis of feedback will be shared with bureaus and offices,
specifically through the DOI Invasive Species Task Force, and used in reporting of accomplishments
for Fiscal Year 2025, to inform individual bureau and office partnership engagement strategies, and
to inform future DOI invasive species management planning efforts.
16E. How will the data be tabulated? How What Statistical Techniques will be used to generalize the results to the entire
customer population? How will limitations on use of data be handled? If the survey results in a lower than anticipated
response rate, how will you address this when reporting the results? (Use as much space as needed; if necessary, include
additional explanation on separate page.)

Results will be cross tabulated and analyzed by bureau, scale of partnership, type of agreement,
overall satisfaction, effectiveness of specific engagement, role of respondent, and write in feedback.
Lower than anticipated response rates will not be explicitly addressed. However, a lower than
expected response rate will be documented for Leadership, as an informal indicator of the strength
(or lack of strength) of existing relationships.
16F. Is this survey intended to measure a Government Performance and Results Act (GPRA) performance measure? If yes,
please include an excerpt from the appropriate document. (Use as much space as needed; if necessary, include additional
explanation on separate page.)

This survey is not intended to measure a GPRA performance measure.

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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

17. Federal Cost: (Consult your Bureau/Office Information Collection Clearance Officer for assistance, if necessary)
The estimated annual cost to the Federal government is $

4,233

, based on: (provide details below)

Total hours to prepare, send, and analyze results = 80 hours. 77 hours reflects 5 hours for survey correspon
Sample Response:
“If we receive 20 submissions and it takes 30 minutes to process and implement each one, then the total burden is $322.40
assuming a GS-7 step 5 is processing the submissions. This custom form is a tool meant to accept submissions in a standard format
rather than through the freeform submissions that would otherwise come in by personal email. The existence of this form actually
saves the government money by standardizing submissions and decreasing the workload of processing each one.”
18. The survey methodology presented in form DI-4010 includes a specific description of:
The respondent universe,
The sampling plan and all sampling procedures, including how respondents will be selected,
How the instrument will be administered,
Expected response rate and confidence levels,
Strategies for dealing with potential non-response bias,
A description of any pre-testing and peer review of the methods and/or the instrument is highly recommended,
The burden hours reported in the Justification include the number of burden hours associated with the initial contact of all
individuals in the sample (i.e., including refusals), if applicable, and the number of burden hours associated with individuals
expected to complete the survey instrument, and
The package is properly formatted (using MS Word) and submitted to the Office of Policy Analysis (through the Bureau/Office
Information Collection Clearance Officer).
19. The approval package includes:
A completed and signed Form DI-4010, Generic Clearance for Customer Satisfaction Surveys.
A copy of the survey instrument.
Other supporting materials, such as:
• Cover letters to accompany mail-back questionnaires,
• Introductory scripts for initial contact of respondents,
• Necessary Paperwork Reduction Act and Estimated Burden compliance language, and/or
• Follow-up letters/reminders sent to respondents.
20. Checklist for Submitting a Request to Use DOI Programmatic Clearance for Customer Satisfaction Surveys
All questions in the survey instrument are within the scope of one of the DOI Programmatic Clearance for Customer
Satisfaction Surveys topic areas.
A qualified statistician has reviewed and approved your request (see question 21A).
Your Bureau/Office Information Collection Clearance Officer receives your package for review/approval at least 75 days
prior to the first day the PI wishes to administer the survey to the public.
21. Required Certifications for Submission Under OMB Control Number 1040-0001
Certification is required to submit a collection of information for approval under the DOI Programmatic Clearance for Customer
Satisfaction Surveys. If the collection does not satisfy the requirements of the Programmatic Clearance, you should follow the
regular PRA clearance procedures described in 5 CFR 1320.
21A. Bureau/Office Statistician
Signature
Date
Recommend

Not Recommended

ANN MILLER

21B. Bureau/Office Program or Subgroup

Bureau/Office Point-of-Contact

Office of Policy Analysis

Ann Miller

Title (Please be specific)

Digitally signed by ANN MILLER
Date: 2025.08.28 15:16:47 -04'00'

Signature

ANN MILLER

Economist

08/28/25

Date
Digitally signed by ANN MILLER
Date: 2025.08.28 15:17:43 -04'00'

08/28/25

FOR PROGRAM USE ONLY

Required certifications: The information collection requested by this submission meets the requirements of OMB Control No. 1040-0001

Bureau/Office ICCO
Recommend

Signature

Not Recommended

DOI Office of Policy Analysis
Recommend
Approved

Signature

Not Recommended

DOI PRA Program Lead
Not Approved

JEFFREY PARRILLO

Date

Digitally signed by JEFFREY PARRILLO
Date: 2025.09.02 10:49:12 -04'00'

DOI Tracking No.

2025-OS-CS2

09/02/25
Date

signed by MELISSA BRAYBROOKS
MELISSA BRAYBROOKS Digitally
Date: 2025.08.28 17:02:54 -04'00'

Signature

JEFFREY PARRILLO

Date
Digitally signed by JEFFREY PARRILLO
Date: 2025.09.02 10:49:46 -04'00'

09/02/25
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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

Instructions for Completing Form DI-4010,
Justification for Submission Under the
“DOI Programmatic Clearance for Customer Satisfaction Surveys”
OMB Control Number 1040-0001
1.

Bureau/Office: Insert the name of the bureau/office conducting the survey.

2.

Date Submitted: Date you submit the package to the Bureau/Office Information Collection Clearance Officer (ICCO) for review.

3.

Survey Title: Insert title for the proposed survey.

4.

Abstract: Summarize the proposed study with an abstract not to exceed 150 words.

5.

Bureau/Office Point of Contact Information: Complete the bureau/office contact information. PPA will communicate with the
point of contact listed here throughout the entire approval process.

6.

Principal Investigator (PI) Conducting the Survey: Complete information about the PI who will be conducting the survey, if
different from Point of Contact listed in #4. Otherwise note: Same as #4.

7.

Name of Program Office Conducting Survey: Provide the name of the bureau program, office, or organizational unit conducting
the survey.

8.

Description of Customers and Services Provided: Provide a brief description of the customers you will survey, the services
provided by the program conducting the survey, and customers receive these services.

9.

Survey Dates: List the time-period in which you will conduct the survey, including specific starting and ending dates. The starting
date should be at least 75 days after the date you submit the package to your bureau/office Information Collection Clearance
Officer (ICCO).

10. Type of Information Collection Instrument: Check the type(s) of information collection instrument(s) you will use. If other,
please explain.
11. Survey Development: Explain how the survey was developed. With whom did you consult during the development of the survey
on content? On statistics? Did you pretest the survey? What actions did you take to improve the survey? What suggestions did
you receive for improving the survey? Which of the six topic areas will the collection address? (Note: A description of any pretesting and peer review of the methods and/or instrument is highly recommended.)
12. Survey Methodology: Explain how you will conduct the survey. Provide a description of the survey methodology including:
•
Question 12A – The respondent universe,
•
Question 12B – The sampling plan and all sampling procedures;
•
Question 12C – How the instrument will be administered;
•
Question 12D – Expected response rate and confidence levels;
•
Question 12E – Strategies for dealing with potential non-response bias; and,
•
Question 12A – Description of any pre-testing and peer review of the methods and/or instrument (recommended, but not
required).
Note: Web-based surveys are not an acceptable method of sampling a broad population. Web-based surveys must be limited to
services provided by the web site.
13. Burden Hours Calculations: Provide an estimated total of the following for each category – initial contact and completion of
survey instrument:
•
Number of annual respondents – Enter the number of unique respondents who will complete the information collection;
•
Number of responses per respondent – Enter the total number of responses per unique respondent;
•
Total annual responses – Enter the number of unique respondents multiplied by the total number of responses each;
•
Time per response – Estimate the time to complete the initial contact and the time to complete the survey instrument (in
minutes), and
•
Total burden hours –The total burden hours should account for the amount of time required to instruct the respondents in
completing the survey, and the amount of time required for the respondent to complete the survey.
14. Federal Enterprise Architecture (FEA) Business Reference Model: Using the drop-down menus provided, select ONE “Line of
Business” and ONE corresponding Subfunction that most accurately describes your information collection.
15. Reporting Plan: Provide a brief description of the reporting plan for the data you will collect.
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DI-4010 (Rev. 03/2021)
U.S. Department of the Interior

OMB Control. No. 1040-0001
Expiration Date 01/31/2028

16. Justification, Purpose and Use: For questions 16A through 16F, provide a brief justification for the survey, its purpose, goals,
and utility to managers. Specifically, describe how you will tabulate the data and what the statistical techniques you will use to
generalize the results to the entire customer population. Describe how you will use the data from the survey. Describe how you
will acknowledge any limitations related to the data, particularly in cases where we obtain a lower than anticipated response rate.
Note whether you intend the survey to measure a Government Performance and Results Act (GPRA) performance measure.
17. Federal Cost: Provide the cost estimate for the Federal government to administer the information collection, along with a
description of how you calculated the cost estimate (sample response provided). Contact your bureau/office ICCO for more
information or for assistance.
18. Survey Methodology Checklist: Carefully review each item and check each box to indicate your submission provides
the required description of each item.
19. Checklist for Submitting a Request to Use DOI Programmatic Clearance for Customer Satisfaction Surveys: Carefully
review each item and check each box to indicate your understanding and concurrence of each requirement.
20. Approval Package Content: Carefully review each item and check each box to indicate your package contains each of the
requirement elements listed.
NOTE: Your survey instrument document must show the OMB Control Number 1040-0001 and Expiration Date ##/##/###, and it
MUST include the following Statements somewhere on the instrument document (preferably at the bottom of page 1 or at the end
of the document):
Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act
(44 U.S.C. 3501) to [insert brief justification for collection of information]. Your response is voluntary and results we
will not share them publicly. We may not conduct or sponsor and you are not required to respond to a collection of
information unless it displays a currently valid OMB Control Number. OMB has reviewed and approved this survey
and assigned OMB Control Number 1040-0001.
Estimated Burden Statement: We estimate the [insert type of instrument] will take you ## minutes to complete,
including time to read instructions, gather information, and complete and submit your response. You may submit
comments on any aspect of this information collection to the Information Collection Clearance Officer, [Insert
Bureau/Office], [Insert mailing address].
21. Required Certifications: Completion of all information in this section is required before forwarding your approval
package to your bureau/office ICCO for review and processing.
Question 21A – Ensure the bureau/office statistician reviewing your information collection certifies the request satisfies
the requirements of the DOI Programmatic Clearance for Customer Satisfaction Surveys under OMB Control No. 10400001.
Question 21B – Ensure the requestor provides the requested contact information needed by the bureau/office and/or
Departmental ICCO to resolve questions or concerns.

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