Generic Clearance of Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0960-0526 supporting statement Part A (2009)Rev 7-29.doc	Supporting Statement A	Uploaded 2009-07-29	Available
Category H Comment Card Sample.doc	Supplementary Document	Uploaded 2009-05-08	Repair queued
Category F Telephone Questionnaire Sample.doc	Supplementary Document	Uploaded 2009-05-08	Repair queued
Category E Internet Questionnaire Sample.doc	Supplementary Document	Uploaded 2009-05-08	Available
Category C Mail Questionnaire Sample.doc	Supplementary Document	Uploaded 2009-05-08	Available
Category B Focus Group-Usability Sample.pdf	Supplementary Document	Uploaded 2009-05-08	Available
Category A Focus Group Sample (revised).pdf	Supplementary Document	Uploaded 2009-05-19	Available
Categorization of GC Activities w totals.xls	Supplementary Document	Uploaded 2009-05-28	Available
Listing of Proposed GC Collections.doc	Supplementary Document	Uploaded 2009-05-26	Available
0960-0526 addendum (2009).doc	Supplementary Document	Uploaded 2009-05-08	Available
0960-0526 supporting statement Part B (2009).doc	Supporting Statement B	Uploaded 2009-05-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192103	Spanish Retirement Estimator Focus Group and Usability (activity 1); Appointed Representative Suite of Services Customer Profile Development Discussions (activity 2)	Other-Survey Discussion Guide	New
191673	Fiscal Year (FY) 2010 Field Office (FO) Caller Survey	Other-Survey Questionnaire	New
191005	Two Generic Clearance Surveys	Other-Survey	New
190537	Individual Generic Clearance Surveys	Other-Survey	New
190244	EN Report Card Survey	Other-Advance Letter	New

ICR Details

OMB Control No: 0960-0526	ICR Reference No: 200905-0960-012
Status: Historical Active	Previous ICR Reference No: 200904-0960-008
Agency/Subagency: SSA	Agency Tracking No:
Title: Generic Clearance of 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 without change	Conclusion Date: 08/06/2009
	Date Received in OIRA: 05/28/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	08/31/2009
Responses	4,200,353	0	1,355,344
Time Burden (Hours)	375,058	0	120,610
Cost Burden (Dollars)	0	0	0

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Abstract: This is the blanket clearance for SSA's customer service satisfaction assessments (called "generic clearances), which SSA conducts under the authority of E.O. 12862. This ICR represents our overall plan for the multiple generic clearances we plan to conduct for the period of June 2009 through June 2012.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	74 FR 12170	03/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 23764	05/20/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Spanish Retirement Estimator Focus Group and Usability (activity 1); Appointed Representative Suite of Services Customer Profile Development Discussions (activity 2)
EN Report Card Survey
Fiscal Year (FY) 2010 Field Office (FO) Caller Survey
Individual Generic Clearance Surveys
Two Generic Clearance Surveys

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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	4,200,353	1,355,344	0	0	2,845,009	0
Annual Time Burden (Hours)	375,058	120,610	0	0	254,448	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: $3,123,518

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

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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: 05/28/2009

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