Customer Service Focus Groups and Surveys

Forms and Documents

Document Name	Status
Form no number Survey of newly-insured plans 2008 Form and Instruction	New
Generic Clearance Template ver 21 Dec 06.doc Supplementary Document	2006-12-21
RE OMB comments on PBGC generic clearance request.htm Supplementary Document	2006-12-21
Supporting Statement 2006 24oct06doc.doc Supporting Statement A	2006-10-24

IC Document Collections

IC ID	Document Title	Status
190417	Focus Group – First-time Visitors to PBGC’s Web site Other-null	New
186780	Survey of newly-insured plans 2008 Form and Instruction	New

ICR Details

OMB Control No: 1212-0053	ICR Reference No: 200610-1212-002
Status: Historical Active	Previous ICR Reference No: 200308-1212-001
Agency/Subagency: PBGC	Agency Tracking No:
Title: Customer Service Focus Groups and Surveys
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/21/2006
	Date Received in OIRA: 10/27/2006
Terms of Clearance: This generic clearance for PBGC customer service focus groups and surveys is approved under the following conditions: 1) PBGC shall use the generic clearance to collect customer satisfaction data (via surveys, focus groups or software usability testing sessions) where the agency seeks to gather information for general service improvement, not for publication or for the purpose of informing significant policy or resource allocation decisions. 2) Focus groups should be of limited size and scope. 3) For individual surveys or focus groups, PBGC shall submit a generic clearance request in ROCIS along with an abbreviated supporting statement in the template agreed to by OMB and PBGC. This statement shall include all relevant information, including a statement of need, intended use of information, description of respondents, information collection procedures, expected response rate, justification for incentive, estimated burden. 4) OMB will respond with clearance or questions within 10 working days.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	10/31/2006
Responses	4,200	0	9,500
Time Burden (Hours)	1,400	0	2,500
Cost Burden (Dollars)	0	0	0

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Abstract: The PBGC needs to explore issues of mutual concern (e.g., kind and quality of desired services) with its customers. These issues change over time, and it is important that the PBGC quickly evaluate them. This request seeks to extend the current "generic" approval, for a three-year period, to conduct focus groups and surveys.

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Authorizing Statute(s): US Code: 29 USC 1302(b) Name of Law: ERISA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 26786	05/08/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 52349	09/05/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Focus Group – First-time Visitors to PBGC’s Web site
Survey of newly-insured plans 2008	no number	Questionnaire

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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	4,200	9,500	0	0	-5,300	0
Annual Time Burden (Hours)	1,400	2,500	0	0	-1,100	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The decrease in the estimated annual burden is due to the PBGC’s reliance on the American Customer Satisfaction Index Survey (ACSI Survey), OMB Number 3090-0271, sponsored by the Department of the Treasury. The ACSI Survey reduced the PBGC’s need to measure customer satisfaction. The decrease also reflects the PBGC’s re-evaluation of the potential number of surveys and respondents.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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

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Common Form ICR:  No

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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: 10/27/2006

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