Generic Clearance of Customer Satisfaction Surveys

Forms and Documents

Document Name	Status
0960-0526 request for automatic approval.doc Justification for No Material/Nonsubstantive Change	2010-03-23
0960-0526 supporting statement Part A (2009)Rev 7-29.doc Supporting Statement A	2009-07-29
Category H Comment Card Sample.doc Supplementary Document	2009-05-08
Category F Telephone Questionnaire Sample.doc Supplementary Document	2009-05-08
Category E Internet Questionnaire Sample.doc Supplementary Document	2009-05-08
Category C Mail Questionnaire Sample.doc Supplementary Document	2009-05-08
Category B Focus Group-Usability Sample.pdf Supplementary Document	2009-05-08
Category A Focus Group Sample (revised).pdf Supplementary Document	2009-05-19
Categorization of GC Activities w totals.xls Supplementary Document	2009-05-28
Listing of Proposed GC Collections.doc Supplementary Document	2009-05-26
0960-0526 addendum (2009).doc Supplementary Document	2009-05-08
0960-0526 supporting statement Part B (2009).doc Supporting Statement B	2009-05-08

IC Document Collections

IC ID	Document Title	Status
202998	Five Customer Satisfaction Survey - Mail Surveys - Statistical Other-Survey	New
200617	Two Statistical Customer Satisfaction Surveys - FY 2012 800 Number Caller and FO Caller Survey Other-Survey	New
199896	Ticket to Work (TTY) Work Incentives Seminar Event (WISE) Survey Other-Survey	New
198485	1 Qualitative and 4 Quanatative Surveys Other-Survey	New
198194	EN Customer Satisfaction Survey Other-Survey	New
197937	Beneficiaries with Disabilities Telephone Survey Other-survey	New
197707	Special 800# Caller Survey and FY 11 SNO Survey Other-survey	New
197289	SSA Survey of Online Security Other-Survey	New
195951	Two Generic Clearance Requests - Focus Groups Other-Focus Group Guide	New
195767	Annual Statistical Supplement Print Subscriber Survey Other-Survey	New
195701	Online Benefit Verification/Proof of Income (BEVE/POI) Letter Focus Group Other-Focus Group Discussion Guide	New
195273	Two Customer Satisfaction Surveys (FY 2011 Field Office Caller Survey and 800 Number Caller Survey Other-survey	New
194837	Customer Satisfaction Surveys (Tiicket to Work Employement Network" and "SSA Redesigned Home Page" Other-Focus Group/Survey	New
194702	Office of Acquisitions and Grants (OAG) Contractor Survey Other-Survey	New
194126	Channeling Service Guide Other-Focus Group Questions	New
193699	Usability Center Blanket Clearance; ROME Generic Clearance; RRC Conference Survey; IDEO Survey; FY 2011 Internal Report Card Survey; FY 2011 Dsiability Report Other-Sample usability testing scripts/questions	New
193088	Individual Generic Surveys (4 mail surveys) Other-Survey	New
192369	SAVE Focus Group Other-Survey	New
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	Unchanged
191673	Fiscal Year (FY) 2010 Field Office (FO) Caller Survey Other-Survey Questionnaire	Unchanged
191005	Two Generic Clearance Surveys Other-Survey	Unchanged
190537	Individual Generic Clearance Surveys Other-Online Survey	Unchanged
190244	EN Report Card Survey Other-null	Unchanged

ICR Details

OMB Control No: 0960-0526	ICR Reference No: 201003-0960-008
Status: Historical Active	Previous ICR Reference No: 200905-0960-012
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 without change	Conclusion Date: 03/23/2010
	Date Received in OIRA: 03/23/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	08/31/2012	08/31/2012
Responses	4,200,353	0	4,200,353
Time Burden (Hours)	375,058	0	375,058
Cost Burden (Dollars)	0	0	0

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Abstract: This submission contains no changes or actual IC documents -- it is only for the purposes of setting automatic approval time.

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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: 23

IC Title	Form No.	Form Name
Two Generic Clearance Surveys
Channeling Service Guide
Usability Center Blanket Clearance; ROME Generic Clearance; RRC Conference Survey; IDEO Survey; FY 2011 Internal Report Card Survey; FY 2011 Dsiability Report
Five Customer Satisfaction Survey - Mail Surveys - Statistical
Annual Statistical Supplement Print Subscriber Survey
Fiscal Year (FY) 2010 Field Office (FO) Caller Survey
SAVE Focus Group
Two Generic Clearance Requests - Focus Groups
Special 800# Caller Survey and FY 11 SNO Survey
Ticket to Work (TTY) Work Incentives Seminar Event (WISE) Survey
Two Statistical Customer Satisfaction Surveys - FY 2012 800 Number Caller and FO Caller Survey
Office of Acquisitions and Grants (OAG) Contractor Survey
SSA Survey of Online Security
Beneficiaries with Disabilities Telephone Survey
Spanish Retirement Estimator Focus Group and Usability (activity 1); Appointed Representative Suite of Services Customer Profile Development Discussions (activity 2)
Two Customer Satisfaction Surveys (FY 2011 Field Office Caller Survey and 800 Number Caller Survey
EN Customer Satisfaction Survey
Individual Generic Clearance Surveys
EN Report Card Survey
Customer Satisfaction Surveys (Tiicket to Work Employement Network" and "SSA Redesigned Home Page"
Individual Generic Surveys (4 mail surveys)
Online Benefit Verification/Proof of Income (BEVE/POI) Letter Focus Group
1 Qualitative and 4 Quanatative Surveys

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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	4,200,353	4,200,353	0	0	0	0
Annual Time Burden (Hours)	375,058	375,058	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: $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: 03/23/2010

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