OVC TTAC User Feedback Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
OVC TTAC Needs Assessment Survey	Form and Instruction	Modified	Available
TTAC Participant Follow-up Interview form	Form	Modified	Available
Form G-300 Resource Material Feedback Card	Form	Modified	Available
Form G-200 TTAC Web site Feedback form	Form	Modified	Available
Form G-100 TTAC User Feedback form	Form	Modified	Available
Form T-300 TTAC Consultant Feedback form	Form	Modified	Available
Form T-100 TTAC Participant Feedback form	Form	Modified	Available
Form T-200 TTAC Requester Feedback form	Form	Modified	Available
Revised_1121-0277_Supporting_Statement[1].doc	Supporting Statement A	Uploaded 2009-07-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form and Instruction	Modified	OVC TTAC Needs Assessment Survey
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC Participant Follow-up Interview form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	Resource Material Feedback Card
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC Web site Feedback form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC User Feedback form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC Consultant Feedback form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC Participant Feedback form
12604	OVC TTAC User Feedback Form & Needs Assessment Survey	Form	Modified	TTAC Requester Feedback form

ICR Details

OMB Control No: 1121-0277	ICR Reference No: 200905-1121-002
Status: Historical Active	Previous ICR Reference No: 200707-1121-001
Agency/Subagency: DOJ/OJP	Agency Tracking No: OVC
Title: OVC TTAC User Feedback Form
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: 08/04/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/08/2009
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	09/30/2010
Responses	19,690	0	18,290
Time Burden (Hours)	1,926	0	1,341
Cost Burden (Dollars)	44,730	0	0

---

Abstract: The OVC TTAC Feedback Form Package is designed to collect the data necessary to continuously improve customer service intended to meet the needs of the victim service field. OVC TTAC staff will send these forms to technical assistance (TA) recipients, to capture important feedback on the TA recipients satisfaction with the quality efficiency, referrals, and resources of the OVC TTAC The data will then be used to advise OVC TTAC. The data will then be used to advise OVC TTAC on ways to improve the support that OVC TTAC provides to its users and the victim service field at large.

---

Authorizing Statute(s): PL: Pub.L. 98 - 473 10601 Name of Law: Victims of Crime Act of 1984
  

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
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 8110	02/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 20501	05/04/2009
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
OVC TTAC User Feedback Form & Needs Assessment Survey	none, None, T-100, T-200, T-300, G-100, G-200, G-300	TTAC Participant Feedback form ,   TTAC Requester Feedback form ,   TTAC Consultant Feedback form ,   TTAC User Feedback form ,   TTAC Web site Feedback form ,   Resource Material Feedback Card ,   TTAC Participant Follow-up Interview form ,   OVC TTAC Needs Assessment Survey

---

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	19,690	18,290	0	0	1,400	0
Annual Time Burden (Hours)	1,926	1,341	0	0	585	0
Annual Cost Burden (Dollars)	44,730	0	0	0	44,730	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: A new form was added to this collection for OVC TTAC Needs Assessment Survey.

---

Annual Cost to Federal Government: $150,774

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)? 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: 07/08/2009

---