Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
OS - Commerce.gov Customer Feedback Form Form	New
NOAA-Feedback of Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary-Middle-and High School Educational Kits Form and Instruction	New
PTO - After Final Consideration Pilot 2.0 Survey Form and Instruction	New
PTO - Request for Continued Examination Survey Form and Instruction	New
NOAA - Questionnaire on Current and Planned Use of L-Band Direct Readout Services from the Joint Polar-Orbiting Satellite Systems (JPSS) Form	New
NOAA - Harmful Algal Blooms Subscriber List Questionnaire Form and Instruction	New
NOAA - Needs Assessment for Training in Climate and Hazard Adaptation: Discussion Groups Form and Instruction	New
NOAA - Great Lakes Beach Hazards Interviews Form and Instruction	New
PTO - Trademark Electronic Official Gazette Customer Satisfaction Survey Form	New
NIST-Information Resources Needs for Standards Coordination Office (SCO) Form	New
NOAA - Harmful Algae Website User Survey Form and Instruction	New
NOAA - Satellite Conference 2013 Feedback Survey Form and Instruction	New
PTO-Usability Testing Feedback for USPTO Next Generation Initiatives Form and Instruction	New
ITA - Commercial Services Program Feedback Forms Form and Instruction	New
PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative Form and Instruction	New
PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs Form and Instruction	New
NOAA - Quick Response (QR) Code Enabled Nautical Chart Feedback Form and Instruction	New
NESDIS Web site Customer Experience Survey Form and Instruction	New
ITA-Event Evaluation Customer Satisfaction Forms Form and Instruction	New
NOAA-Survey for Soliciting Feedback on the NMFS Recreational Bluefin Tuna Reporting System Form and Instruction	New
NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms Form	New
ITA-Trade Agreements Compliance Program Customer Comments Cards Form and Instruction	New
ITA-Advocacy Center Customer Satisfaction Comment Card Form and Instruction	New
NOAA-Biogeographic Assessment Product Requests Form and Instruction	New
PTO-Survey of Paten Applicants' Filing Software Usage and Tools Form and Instruction	New
WebEx Stakeholder Testing Form and Instruction	New
NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation Form and Instruction	New
Generic Clearance Submission Template.doc Supplementary Document	2011-04-19
SuppStmt.Part B.DOC Generic Clearance.Qualitative Feedback on Serv Del.pdf Supporting Statement B	2011-03-15
SuppStmt.DOC.Generic Clearance.Qualitative Feedback on Serv Delivery.030311.pdf Supporting Statement A	2011-03-15
Draft Generic Clearance Submission Template.docx Supplementary Document	2011-03-15

IC Document Collections

IC ID	Document Title	Status
210962	PTO - Customer Outreach Poll for the Biotechnology/Chemical/Pharmaceutical Partnership Meeting Other-list of questions	New
210856	OS - Commerce.gov Customer Feedback Form Form	New
210687	NOAA - Watch, Warning, and Advisory (WWA) Focus Groups Other-List of Focus Group Questions	New
210439	NOAA-Feedback of Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary-Middle-and High School Educational Kits Form and Instruction	New
210129	PTO - After Final Consideration Pilot 2.0 Survey Form and Instruction	New
209228	NOAA - Local Climate Analysis Tool (LCAT) User Registration Instruction	New
209162	PTO - Request for Continued Examination Survey Form and Instruction	New
209074	NOAA - Tropical Cyclone Impact Graphic (TCIG) Focus Groups Other-List of Questions	New
208940	ITA - Commercial Service (CS) Europe (UK) - Client Feedback Other-Survey	New
208484	NOAA - Questionnaire on Current and Planned Use of L-Band Direct Readout Services from the Joint Polar-Orbiting Satellite Systems (JPSS) Form	New
208236	NOAA - Harmful Algal Blooms Subscriber List Questionnaire Form and Instruction	New
208120	Customer Satisfaction Survey of EDA.gov Website Visitors Other-Survey	New
207625	ITA - Customer Feedback Survey for U.S. Organizations Other-Survey	New
207485	Feedback from Alaskan Fishing Communities: Impacted/Respond or Adapt to Economic, Social, and Environmental Pressures Other-Survey	New
207236	NOAA-ESTC Science Workshop Program Implementation Surveys Other-Survey	New
207235	NOAA - Needs Assessment for Training in Climate and Hazard Adaptation: Discussion Groups Form and Instruction	New
207109	NOAA - Great Lakes Beach Hazards Interviews Form and Instruction	New
206919	PTO - Trademark Electronic Official Gazette Customer Satisfaction Survey Form	New
206776	NOAA - Needs Assessment for Training in Climate and Hazard Adaption Instruction	New
206689	NOAA - Hawaiian Monk Seal Visitor Education Programming Focus Group Other-Script Questions	New
206657	Alaska Weather Information Line Statewide Survey Other-Survey	New
206465	NIST-Information Resources Needs for Standards Coordination Office (SCO) Form	New
206306	PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives Instruction	New
206248	MBDA - Customer Satisfaction Survey of MBDA.gov Website Visitors Other-Survey	New
206148	NOAA - Harmful Algae Website User Survey Form and Instruction	New
206062	Ofc of Secy - BusinessUSA Contact Center Customer Satisfaction Survey Other-Audio Survey	New
205983	NOAA - Storm Surge Marketing Discussion Groups Other-List of Questions for Discussion	New
205873	NOAA - Satellite Conference 2013 Feedback Survey Form and Instruction	New
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives Form and Instruction	New
205549	ITA - Commercial Services Program Feedback Forms Form and Instruction	New
205461	Feedback in Support of U.S. PTO's Next Generation Initiatives Other-Guide	New
205306	NOAA-Customer Satisfaction Survey of NOAA Coastal Services Center Technical Assistance Other-Survey	New
205213	PTO - Tegernese Group Patent Law Harmonization Feedback Other-Survey	New
205109	NOAA - Shoreline Change Workshop of 2012: Perspectives on the Great Lakes Other-Survey	New
204737	PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative Form and Instruction	New
204559	NOAA - Stakeholder Feedback on the Selection of NOAA Candidate Habitat Focus Area(s) in California Other-Survey	New
204459	PTO - National Trademark Expo - 2012 Participant Feedback Surveys Other-Survey	New
204344	NIST - Information Resources Needs for the Standards Coordination Office Customers (World Standards Week Event) Other-Survey	New
204018	NTIS - National Technical Reports Library (NTRL) V3.0 Survey Other-Survey	New
204013	MBDA - Rank Your Recommendations: A Survey of Minority Business Development Agency Business Centers Other-Survey	New
203984	Fee Process Next Generation (FPNG) Phone Interviews Regarding Fee Processing System Access and Stored Payment Account Access and Management Other-Telephone Script and Interview Questions	New
203893	Fee Process Next Generation (FPNG) Focus Sessions Regarding Fee Processing System Access and Stored Payment Account Access and Management Other-Script and List of Questions	New
203737	ITA-Commercial Services Program Client Needs Segmentation Focus Groups Other-null	New
203644	NTIA-Program Offices Customer Satisfaction Survey Other-Survey	New
203488	PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs Form and Instruction	New
203424	ITA - Commercial Services Program Clients Qualitative Interviews Other-Interview Guide	New
202802	PTO Outreach Sessions with Patent Applicants regarding eFiling and Proposed Future Needs Other-Survey	New
202671	ITA - Commercial Services Program Feedback Comment Cards Other-Comment Card	New
202403	NOAA - Quick Response (QR) Code Enabled Nautical Chart Feedback Form and Instruction	New
202247	NOAA: On-line Comments Regarding the Uses of the World Magnetic Model Form Other-Survey	New
202094	NOAA: On-line Comments Regarding the Uses of the Enhanced Magnetic Field Model Other-Survey	New
201918	NOAA-Lincoln Park Restoration Site Visitor Survey Other-Survey	New
201766	NESDIS Web site Customer Experience Survey Form and Instruction	New
201598	NOAA - Hurricane Forecast Products Customer Poll at National Hurricane Conference Other-List of Questions	New
201452	ITA-Event Evaluation Customer Satisfaction Forms Form and Instruction	New
201321	NOAA-Survey for Soliciting Feedback on the NMFS Recreational Bluefin Tuna Reporting System Form and Instruction	New
201258	NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms Form	New
200998	PTO-Patent Reengineering - Applicant Feedback Word Validation Tool Other-List of Questions	New
200900	ITA-Trade Agreements Compliance Program Customer Comments Cards Form and Instruction	New
200685	ITA-Advocacy Center Customer Satisfaction Comment Card Form and Instruction	New
200240	NOAA-Hawaiian Monk Seal Public Service Announcement Focus Groups Other-Script and List of Questions	New
199786	NOAA-Biogeographic Assessment Product Requests Form and Instruction	New
199680	EDA-Grant Application Process Improvement Survey Other-Survey	New
199309	PTO-Survey of Paten Applicants' Filing Software Usage and Tools Form and Instruction	New
199220	WebEx Stakeholder Testing Form and Instruction	New
198679	NOAA-Probabilistic Hydrologic Outlook Survey Other-Survey	New
198511	NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation Form and Instruction	New
198411	NOAA-Fishing Around Sea Turtles" Products and Services Survey Other-survey	New
198286	Customer Results Survey on EDA/ITA Trade & Investment Programs Other-Survey	New
198147	Intellectual Property (IP) Awareness Assessment Tool Feedback Other-Survey Questions	New
197940	Export.gov Customer Feedback Form Other-survey	New
197506	Patents End-to-End System Customer Feedback on Online Payment Process Other-List of Questions	New
197437	Patents End-to-End System Customer Feedback Focus Sessions Other-List of Questions	New

ICR Details

OMB Control No: 0690-0030	ICR Reference No: 201103-0690-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2011
	Date Received in OIRA: 03/15/2011
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved
Responses	489,420	0	0
Time Burden (Hours)	126,267	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): None

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:
	75 FR 80544	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 13977	03/15/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 73

IC Title	Form No.	Form Name
ITA - Commercial Services Program Feedback Comment Cards
NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation	None, None	SCUTES Educational Kit Evaluation ,   SCUTES Educational Kit Evaluation
EDA-Grant Application Process Improvement Survey
OS - Commerce.gov Customer Feedback Form	None	COMMERCE.GOV WEBSITE USER SURVEY
WebEx Stakeholder Testing	None	Questions for External Beta Testers of WebEx
PTO - Tegernese Group Patent Law Harmonization Feedback
NOAA-Hawaiian Monk Seal Public Service Announcement Focus Groups
NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms	None, None	VQiPS Tool Feedback Form ,   P25 DSR Feedback Form
NOAA-Lincoln Park Restoration Site Visitor Survey
ITA-Commercial Services Program Client Needs Segmentation Focus Groups
PTO - Request for Continued Examination Survey	None	None
NOAA: On-line Comments Regarding the Uses of the Enhanced Magnetic Field Model
NOAA - Local Climate Analysis Tool (LCAT) User Registration
Fee Process Next Generation (FPNG) Phone Interviews Regarding Fee Processing System Access and Stored Payment Account Access and Management
ITA-Event Evaluation Customer Satisfaction Forms	None, None	Business Outlook Conference Evaluation Form ,   Trade Mission Evaluation Form
Intellectual Property (IP) Awareness Assessment Tool Feedback	None	IP Awareness Assessment
NOAA-Biogeographic Assessment Product Requests	None	Order Form for NOAA Biogeography Branch Product
PTO-Patent Reengineering - Applicant Feedback Word Validation Tool
ITA - Commercial Services Program Feedback Forms	NA	International Buyer Program (IBP) Annual Comment Card
NOAA - Storm Surge Marketing Discussion Groups
NOAA - Great Lakes Beach Hazards Interviews	None	Great Lakes Beach Hazards Interviews
Export.gov Customer Feedback Form
ITA-Advocacy Center Customer Satisfaction Comment Card	None	Comment Card for Advocacy Center
NOAA - Quick Response (QR) Code Enabled Nautical Chart Feedback	None	NOAA- QR Code-enabled Feedback Survey
ITA-Trade Agreements Compliance Program Customer Comments Cards	None, None, None	COMMUNICATIONS FOR CASES CLOSED SUCCESSFULLY ,   COMMUNICATIONS FOR CASES CLOSED NON-SUCCESSFULLY ,   COMMUNICATIONS FOR ANNUAL PROGRAM COMMENT CARD
Feedback from Alaskan Fishing Communities: Impacted/Respond or Adapt to Economic, Social, and Environmental Pressures
NOAA-Feedback of Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary-Middle-and High School Educational Kits	none	SCUTES Elementary - Middle School Educational Kit Evaluation
PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative	None, None	SIPO Search Demographics Form ,   Audio and Video Recording Consent Form
PTO Outreach Sessions with Patent Applicants regarding eFiling and Proposed Future Needs
Patents End-to-End System Customer Feedback on Online Payment Process
PTO-Survey of Paten Applicants' Filing Software Usage and Tools	None	Survey of Patent Applicants' Filing Software Usage and Tools
NOAA-Probabilistic Hydrologic Outlook Survey
MBDA - Customer Satisfaction Survey of MBDA.gov Website Visitors
Fee Process Next Generation (FPNG) Focus Sessions Regarding Fee Processing System Access and Stored Payment Account Access and Management
ITA - Commercial Services Program Clients Qualitative Interviews
NOAA: On-line Comments Regarding the Uses of the World Magnetic Model Form
NOAA - Watch, Warning, and Advisory (WWA) Focus Groups
NOAA - Questionnaire on Current and Planned Use of L-Band Direct Readout Services from the Joint Polar-Orbiting Satellite Systems (JPSS)	None	Need for L-Band Service on JPSS-2 and Beyond
NOAA - Shoreline Change Workshop of 2012: Perspectives on the Great Lakes
ITA - Commercial Service (CS) Europe (UK) - Client Feedback
NOAA - Needs Assessment for Training in Climate and Hazard Adaption
Feedback in Support of U.S. PTO's Next Generation Initiatives	none, none	Background Information ,   Audio and Video Recording Consent Form
NOAA - Hawaiian Monk Seal Visitor Education Programming Focus Group	NA	Appearance Release Form
PTO - National Trademark Expo - 2012 Participant Feedback Surveys
MBDA - Rank Your Recommendations: A Survey of Minority Business Development Agency Business Centers
NTIS - National Technical Reports Library (NTRL) V3.0 Survey
Patents End-to-End System Customer Feedback Focus Sessions
NOAA-Fishing Around Sea Turtles" Products and Services Survey
PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs	None	Volunteer Form
PTO - Customer Outreach Poll for the Biotechnology/Chemical/Pharmaceutical Partnership Meeting
NOAA-Survey for Soliciting Feedback on the NMFS Recreational Bluefin Tuna Reporting System	None	Recreational Bluefin Reporting Options Survey
NESDIS Web site Customer Experience Survey	None	NESDIS HQ Web site Survey
NOAA - Hurricane Forecast Products Customer Poll at National Hurricane Conference
PTO - Trademark Electronic Official Gazette Customer Satisfaction Survey	None	PTO-Trademark Electronic Official Gazette Outreach Survey
Alaska Weather Information Line Statewide Survey
PTO - After Final Consideration Pilot 2.0 Survey	None	After Final Consideration Pilot 2.0 (AFCP 2.0) Survey Questions for External Stakeholders
NIST-Information Resources Needs for Standards Coordination Office (SCO)	None	NIST Services Questions
NOAA - Harmful Algae Website User Survey	None	NOAA - Harmful Algae Website Survey
NOAA-ESTC Science Workshop Program Implementation Surveys
PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	None, None, None, None	Background Information ,   Audio and Video Recording Consent Form ,   Participant Scenario Worksheet ,   System Usability Scale
Customer Results Survey on EDA/ITA Trade & Investment Programs
PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives	None, None	Background Information ,   Audio and Video Recording Consent Form
NIST - Information Resources Needs for the Standards Coordination Office Customers (World Standards Week Event)
NTIA-Program Offices Customer Satisfaction Survey
NOAA - Needs Assessment for Training in Climate and Hazard Adaptation: Discussion Groups	None	NOAA-Needs Assessment for Training in Climate & Hazard Adaptation: Discussion Groups
ITA - Customer Feedback Survey for U.S. Organizations
NOAA - Tropical Cyclone Impact Graphic (TCIG) Focus Groups
Ofc of Secy - BusinessUSA Contact Center Customer Satisfaction Survey
Customer Satisfaction Survey of EDA.gov Website Visitors
NOAA-Customer Satisfaction Survey of NOAA Coastal Services Center Technical Assistance
NOAA - Stakeholder Feedback on the Selection of NOAA Candidate Habitat Focus Area(s) in California
NOAA - Satellite Conference 2013 Feedback Survey	None	NOAA Satellite Conference 2013 Feedback Survey
NOAA - Harmful Algal Blooms Subscriber List Questionnaire	None	NOAA Harmful Algal Blooms Subscriber List Questionnaire

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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	489,420	0	0	489,420	0	0
Annual Time Burden (Hours)	126,267	0	0	126,267	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new request for a generic ICR.

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Annual Cost to Federal Government: $336,880

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 03/15/2011

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