DOI Programmatic Clearance for Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
BIE Summer Institute Planning Instrument	Form and Instruction	New	Available
Student Field Trip Evaluation	Form and Instruction	New	Available
Teacher Field Trip Evaluation	Form and Instruction	New	Available
GGNRA Non-respondent Survey	Form and Instruction	New	Available
Golden Gate National Recreation Area Dog Walking Survey	Form and Instruction	New	Available
National Park Service Concessioner Survey	Form	New	Available
Form S-1 Parent Survey -- Special Education	Form and Instruction	New	Available
Interview Guide	Form and Instruction	New	Available
Past Participant Survey	Form and Instruction	New	Available
USGS Colorado Plateau Conference Satisfaction Survey	Form and Instruction	New	Available
BLM Visitor Survey	Form and Instruction	New	Available
Guidelines_Document_--_February_20_2009.pdf	Supplementary Document	Uploaded 2009-02-26	Available
Guidelines_Document_--_March_2008.pdf	Supplementary Document	Uploaded 2008-03-28	Available
30-day FR notice 1040-0001.pdf	Supplementary Document	Uploaded 2008-03-28	Available
60-day FR notice 1040-0001.pdf	Supplementary Document	Uploaded 2008-03-27	Available
EO-12862.pdf	Supplementary Document	Uploaded 2008-03-27	Available
GPRA_PL103-62_03AUG93.pdf	Supplementary Document	Uploaded 2008-03-27	Available
SS-Part B 1040-0001-final-2009.doc	Supporting Statement B	Uploaded 2009-02-26	Available
SS-Part A 1040-0001-final-2009.doc	Supporting Statement A	Uploaded 2009-02-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201502	Booker T. Washington National Monument Formative Exhibition Evaluation Survey	Other-Email survey	New
201144	Visitor Services Project Evaluation of Customer Service at Boston Harbor Islands National Recreation Area	Other-Survey	New
200511	BIE Summer Institute Planning Instrument	Form and Instruction	New	None
200254	Palo Alto Field Trip Evaluation	Form and Instruction	New	Student Field Trip Evaluation
200254	Palo Alto Field Trip Evaluation	Form and Instruction	New	Teacher Field Trip Evaluation
199823	Golden Gate National Recreation Area Dog Management Plan Survey	Form and Instruction	New	GGNRA Non-respondent Survey
199823	Golden Gate National Recreation Area Dog Management Plan Survey	Form and Instruction	New	Golden Gate National Recreation Area Dog Walking Survey
197392	National Park Service Visitor Satisfaction with Concessioners Survey	Form	New	National Park Service Concessioner Survey
193771	Parent Satisfaction Survey -- Special Education	Form and Instruction	New	Parent Survey -- Special Education
192542	Assessing Customer Satisfaction with Riparian Training	Form and Instruction	New	Interview Guide
192542	Assessing Customer Satisfaction with Riparian Training	Form and Instruction	New	Past Participant Survey
192542	Assessing Customer Satisfaction with Riparian Training	Instruction	New
191962	USGS Colorado Plateau Conference Satisfaction Survey	Form and Instruction	New	USGS Colorado Plateau Conference Satisfaction Survey
191174	BLM Visitor Satisfaction Survey	Form and Instruction	New	BLM Visitor Survey

ICR Details

OMB Control No: 1040-0001	ICR Reference No: 200803-1040-002
Status: Historical Active	Previous ICR Reference No: 200411-1040-001
Agency/Subagency: DOI/OPPM	Agency Tracking No:
Title: DOI Programmatic Clearance for Customer Satisfaction Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/06/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2008
Terms of Clearance: No information collection instruments seeking to collect information beyond the scope of customer satisfaction data, such as social-science or visitor-use information will be considered under the scope of this Programmatic Clearance. The submissions for each instrument must include the following information: 1. Which program office will be conducting this survey? Who are the customers? Which of the six topic areas will be addressed? 2. How was the survey developed? Who was consulted? What pre- testing, if any, was done? 3. How will the survey be conducted? How is the sample selected? What is the expected response rate and what steps are taken to maximize it? Which mode will used to administer the survey? 4. How will the results of the survey be analyzed and reported? If the customer population will be sampled, what statistical techniques will be used to generalize the results to the entire population? What level of aggregation will be used? At the conclusion of the review, OMB will inform the OPPM contact by email when the survey has been approved, after which the agency may use OMB number 1040-0001 on the instrument.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	120,000	0	120,000
Time Burden (Hours)	18,000	0	18,000
Cost Burden (Dollars)	0	0	0

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Abstract: The programmatic clearance enables Interior bureaus and offices to conduct customer research through external surveys such as questionnaires and comment cards to improve the services and products DOI provides to the public.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   PL: Pub.L. 103 - 62 1-11 Name of Law: Government Performance and Results Act of 1993
  

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:
	73 FR 2935	01/16/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 16702	03/28/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Assessing Customer Satisfaction with Riparian Training	None, None	Past Participant Survey ,   Interview Guide
BIE Summer Institute Planning Instrument	None	None
BLM Visitor Satisfaction Survey	None	BLM Visitor Survey
Booker T. Washington National Monument Formative Exhibition Evaluation Survey
Golden Gate National Recreation Area Dog Management Plan Survey	None, None	Golden Gate National Recreation Area Dog Walking Survey ,   GGNRA Non-respondent Survey
National Park Service Visitor Satisfaction with Concessioners Survey	None	National Park Service Concessioner Survey
Palo Alto Field Trip Evaluation	None, None	Teacher Field Trip Evaluation ,   Student Field Trip Evaluation
Parent Satisfaction Survey -- Special Education	S-1	Parent Survey -- Special Education
USGS Colorado Plateau Conference Satisfaction Survey	N/A	USGS Colorado Plateau Conference Satisfaction Survey
Visitor Services Project Evaluation of Customer Service at Boston Harbor Islands National Recreation Area

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ICR Summary of Burden

table that charts list 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	120,000	0	0	0	0
Annual Time Burden (Hours)	18,000	18,000	0	0	0	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:

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Annual Cost to Federal Government: $2,464,020

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

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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: 03/28/2008

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