Fast Track Justification

Draft Generic Clearance Submission Template (3).docx

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

Fast Track Justification

OMB: 1505-0231

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: XXXX-YYYY)

TShape1 ITLE OF INFORMATION COLLECTION: Usability/Task Testing for Treasury.gov


PURPOSE:

To test how easy it is for members of the public to complete some of the most requested tasks that people come to the Treasury.gov web site, expecting to complete. Results will be used to improve navigation of service delivery through the public website. Results will also give internal Treasury stakeholders a better understanding of the public’s experience and context when visiting Treasury.gov.




DESCRIPTION OF RESPONDENTS:


Primary Targets: (Recruit 7-8)


Task-Driven Citizen

Individual Investor

Financial Institution Analysts and Managers

Business (especially Compliance Officers, travel industry, and small business)



Secondary Targets (Recruit 3-4)


Academic Economists and Researchers

Student and Teachers

Press / Media

Government Affairs Professional





TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[X ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[] Focus Group [ ] Other: ______________________


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name:____Kelly Jerosch, Treasury Web Services____


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ X] Yes [ ] No

  2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ X ] No The PII will not be provided to Treasury.

  3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No Not applicable

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ X ] Yes [ ] No


Compensation would be $50 for general public, $100 for finance execs, and $100 in person 508 compliance sessions. Recruiting firm has found from experience that $50 is the minimum the average person is willing to accept to provide an hour of their time out of their schedule.




BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Usability Testers

8-10

1 hour max per tester

Time only. Access to internet





Totals

8-10

A total of 8-10 hours for




FEDERAL COST: The estimated annual cost to the Federal government is __$21,750______


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions: Not Applicable.


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [ ] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?





Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ X ] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

  1. Will interviewers or facilitators be used? [X ] Yes [ ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

  1. Screener Script

  2. Facilitator’s Script/Task List

Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”


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TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)


PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.


DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.


TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.


CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.


Personally Identifiable Information: Provide answers to the questions.


Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.


BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected.

No. of Respondents: Provide an estimate of the Number of respondents.

Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.


FEDERAL COST: Provide an estimate of the annual cost to the Federal government.


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.


Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.


Please make sure that all instruments, instructions, and scripts are submitted with the request.


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2021-02-01

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