Fast Track Justification AC Non-response Bias Survey

Generic Clearance Submission_AC Member Exit Survey Non-Response Bias.docx

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

Fast Track Justification AC Non-response Bias Survey

OMB: 3045-0137

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 3045-0137)

Shape1 TITLE OF INFORMATION COLLECTION:

AmeriCorps Member Exit Survey Response Bias Study


PURPOSE:

To identify whether there is non-response bias in the AmeriCorps Member Exit Survey. The Exit Survey is administered on a rolling basis to all AmeriCorps members as they exit the program. The current response rate is around 45%, which presents the risk that respondents are systematically different than non-respondents and therefore the results may be biased. The study will identify whether there is such a systematic difference.




DESCRIPTION OF RESPONDENTS:

Former AmeriCorps members who completed their term between 10/1/2012 and 9/30/2013.




TYPE OF COLLECTION: (Check one)


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

[ ] 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:__Robin Ghertner_____________________________________


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


Our survey plan will first send an email invitation to the survey respondents. For those that do not respond, we will follow-up with a mail survey. The mail survey will include a $5 pre-incentive. This incentive is necessary because we are surveying a population that has already proved non-responsive to our surveys; the incentive will hopefully motivate them to take this survey. We are offering a pre-incentive because research shows that pre-incentives of a lower amount than post-incentives can be more effective in situations like this.


BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Individuals

2,000

5 minutes

167 hours





Totals

2,000

5 minutes

167 hours


FEDERAL COST: The estimated annual cost to the Federal government is $70,000 (one time cost for contractor expenses)


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?


The sampling frame is all AmeriCorps members who exited from 10/1/2012 through 9/30/2013. There are three AmeriCorps programs: AmeriCorps State & National, National Civilian Conservation Corps, and VISTA. We will select a random sample of all individuals in the sampling frame, stratified by program to ensure we have adequate power for our analysis within each of the 3 programs.


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

[X ] Mail

[ ] Other, Explain

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

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

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

Shape2

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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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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