Voluntary Customer Surveys in Accordance with E.O. 12862

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form G-201 Customer Assessment Survey	Form and Instruction	New	Available
RRB News- ACSI 2009.pdf	Supplementary Document	Uploaded 2010-03-31	Available
IB-3 (08-09).pdf	Supplementary Document	Uploaded 2010-03-30	Available
C0192.suppplement.doc	Supporting Statement B	Uploaded 2006-12-14	Available
3220-0192.doc	Supporting Statement A	Uploaded 2010-03-31	Available
ACSI Report (09-06).pdf	Supplementary Document	Uploaded 2006-12-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192398	Customer Assessment Survey	Form and Instruction	New

ICR Details

OMB Control No: 3220-0192	ICR Reference No: 201003-3220-002
Status: Historical Active	Previous ICR Reference No: 200612-3220-002
Agency/Subagency: RRB	Agency Tracking No:
Title: Voluntary Customer Surveys in Accordance with E.O. 12862
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/02/2010
	Date Received in OIRA: 03/31/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved	04/30/2010
Responses	1,750	0	1,750
Time Burden (Hours)	735	0	735
Cost Burden (Dollars)	0	0	0

---

Abstract: The Railroad Retirement Board (RRB) utilizes voluntary customer surveys to ascertain customer satisfaction with the RRB in terms of timeliness, appropriateness, access, and other measures of quality service. Surveys involve individuals that are direct or indirect beneficiaries of RRB services as well as railroad employers who must report earnings.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Voluntary Customer Surveys
  

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:
	75 FR 4595	01/28/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 15755	03/30/2010
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
Customer Assessment Survey	G-201	Customer 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	1,750	1,750	0	0	0	0
Annual Time Burden (Hours)	735	735	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: 03/31/2010

---