DOI Programmatic Clearance for Customer Satisfaction Surveys

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
11437	DOI Programmatic Clearance for Customer Satisfaction Surveys	Migrated

ICR Details

OMB Control No: 1040-0001	ICR Reference No: 200111-1040-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOI/OPPM	Agency Tracking No:
Title: DOI Programmatic Clearance for Customer Satisfaction Surveys
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2002
	Date Received in OIRA: 11/29/2001
Terms of Clearance: This programmatic clearance is approved under the following terms of clearance. Prior to the use of each instrument, the agency must submit the survey to OMB for review and approval and provide to OMB written answers to the following questions: 1. Explain who will be conducting this survey. What program office will be conducting the survey? What services does this program provide? Who are the customers? How are these services provided to the customer? 2. Explain how this survey was developed. With whom did you consult during the development of this survey on content? statistics? What suggestions did you get about improving the survey? 3. Explain how the survey will be conducted. How will the customers be sampled (if fewer than all customers will be surveyed)? What percentage of customers asked to take the survey will respond? What actions are planned to increase the response rate? (Web-based surveys are not an acceptable method of sampling a broad population. Web-based surveys must be limited to services provided by Web.) 4. Describe how the results of this survey will be analyzed and used. If the customer population is sampled, what statistical techniques will be used to generalize the results to the entire customer population? Is this survey intended to measure a GPRA performance measure? (If so, please include an excerpt from the appropriate document.) The subagency program official must send the survey instrument and answers to the supplemental questions to the OIRA docket. OIRA will review the instrument for no more than two weeks and inform the paperwork officer by email when review has been completed, after which the paperwork officer may use OMB control number 1040-0001 on the instrument.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2005	03/31/2005
Responses	120,000	0	0
Time Burden (Hours)	18,000	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: DOI is requesting a programmatic clearance for its bureaus and offices to conduct customer research through external surveys by means of in-person intercept surveys, telephone interviews or questionnaires, mail surveys, web-based surveys, focus groups, and comment cards. This information is being collected to improve the services and products that DOI provides to the public. DOI will use this information to support all aspects of planning, from buildings, roads, and interpretive exhibits, to technical systems. DOI anticipates that the information obtained could lead to reallocation of resources, revisions in certain

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
DOI Programmatic Clearance for Customer Satisfaction Surveys

---

ICR Summary of Burden

	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	120,000	0	0	120,000	0	0
Annual Time Burden (Hours)	18,000	0	0	18,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/29/2001

---