Fast Track Submission Form

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 1535-0143)

TITLE OF INFORMATION COLLECTION: Quantitative positioning and segmentation
study.

PURPOSE: The objective of this study is to develop a comprehensive categorization of the U.S.
population based on a broad swath of attitude, demographic and behavioral measures. It is meant to
create a body of knowledge about the potential public audiences for Treasury initiatives that can serve as
a foundational source for communications and product development over the next several years.
DESCRIPTION OF RESPONDENTS:

A large, representative cross section sample of the entire U.S. population will be surveyed. The primary
reason for the large sample is to support the statistical segmentation analysis and to allow accurate
profiling of the most important segments. These segments will be formed using one or two of these
information spaces. Potential dimensions employed in the formation of segments include:
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Income: including low-to-moderate income
Age
Ethnic heritage
Current financial services use and interests, including current or prospective use of Treasury
products
Deep-seated financial behaviors and attitudes
Financial channel use and attitudes
Media use

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The goal of sampling the entire U.S. population without qualifications is to assure that potential segments
are included and so that segments can be properly sized.

TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[X] Customer Satisfaction Survey
[ ] Small Discussion 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.
Digitally signed by Bruce A. Sharp
DN: c=US, o=U.S. Government, ou=Department of the Treasury,
ou=Bureau of the Public Debt, ou=People,
serialNumber=SH0238, cn=Bruce A. Sharp
Date: 2011.11.25 11:58:52 -05'00'

Name:________________________________________________
Bruce A. Sharp

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To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [ ] Yes [X] No
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No
Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [X] Yes [ ] No
The survey will be conducted online using KnowledgePanel® which is probability-based
online non-volunteer access panel. Panel members are recruited using a statistically valid
sampling method with a published sample frame of residential addresses that covers
approximately 97% of U.S. households. Sampled non-Internet households, when recruited,
are provided a netbook computer and free Internet service so they may also participate as
online panel members. When a panel member qualifies and responds to an individual survey,
they typically earn “points” that are worth money or gifts from the panel management
organization. These incentives are worth less than $10 for this survey.
BURDEN HOURS
Category of Respondent

No. of
Respondents
5000
5000

Online survey of individuals or households
Totals

Participatio
n Time
25 minutes

Burden
2084 hours
2084

FEDERAL COST: The estimated annual cost to the Federal government is not known at this
time. _______
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
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?
[X] 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?
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This research will be conducted using a special Internet panel that has been provided by
KnowledgePanel® to be representative of the U.S. population.
This panel has been constructed to include people who would not ordinarily have access
to the Internet, making projections to the full population more reasonable than is the case
with most Internet panels.

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The recommended sample will have 5000 respondents who complete the survey.
The questionnaire will average no more than 25 minutes in length, creating an overall
respondent burden of 2084 hours (though Internet panel participants are voluntary and
compensated responders). Extending the questionnaire beyond this length is
prohibitively expensive so we will manage to this target.
The base recommendation is that the questionnaire only be available in English. This
conforms to the BPD plan not to push communications efforts in Spanish.

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
2. Will interviewers or facilitators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

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Instructions for completing Request for Approval under the “Generic
Clearance for the Collection of Routine Customer Feedback”
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. Note: Agencies
should only collect PII to the extent necessary, and they should only retain PII for the period of
time that is necessary to achieve a specific objective.
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 per row.
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.
Submit all instruments, instructions, and scripts are submitted with the request.

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