Generic Clearance of Customer Satisfaction Surveys

Forms and Documents

Document Name	Status
Enumeration Focus Group Discussion Guide.doc Supplementary Document	2009-04-21
Electronic SS-5 Usability Testing Screen Shots.doc Supplementary Document	2009-04-21
Internet Enumeration Focus Groups Description.doc Justification for No Material/Nonsubstantive Change	2009-04-21

IC Document Collections

IC ID	Document Title	Status
9432	Generic Clearance of Customer Satisfaction Surveys Other-Screen Shots	Modified

ICR Details

OMB Control No: 0960-0526	ICR Reference No: 200904-0960-008
Status: Historical Active	Previous ICR Reference No: 200904-0960-007
Agency/Subagency: SSA	Agency Tracking No:
Title: Generic Clearance of Customer Satisfaction Surveys
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/03/2009
	Date Received in OIRA: 04/21/2009
Terms of Clearance: This ICR is concluded on the basis that - as agreed under the conditions of the Generic ICR - SSA may pay no more than $40 to participants in its useability studies. It may pay up to $75 to participants in its focus groups. Under Section 3, the question on Race and Ethnicity should be expanded to read 'What is the Applicant's race? Please select one or more.'

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2009	06/30/2009	06/30/2009
Responses	1,355,344	0	1,355,344
Time Burden (Hours)	120,610	0	120,610
Cost Burden (Dollars)	0	0	0

---

Abstract: This is the blanket ("generic") clearance for all customer satisfaction assessments that will be conducted by SSA in FY 2006-FY 2008. These include focus groups, questionnaires/ surveys (mail, Internet, and telephone), and customer comment cards. The purpose of these measures is to obtain feedback from the public on various services, programs, and products that SSA currently offers or plans to offer in the future. The respondents are members of the public who choose to participate in any of SSA's planned customer satisfaction surveys. We are currently submitting Internet Enumeration Focus Group/Usability GC for approval. We request an approval date of 5/5/09.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

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
Generic Clearance of 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	1,355,344	1,355,344	0	0	0	0
Annual Time Burden (Hours)	120,610	120,610	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:

---

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)? No

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: 04/21/2009

---