Supplemental Justifucation Supporting Statement Employment and Training Webinar Technical Assistance Customer Feedback Survey

Supplemental SSA-Webinar Survey 3 31 2014.docx

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

Supplemental Justifucation Supporting Statement Employment and Training Webinar Technical Assistance Customer Feedback Survey

OMB: 1225-0088

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Request for Approval under the “DOL Departmental Generic Clearance for the Collection of Routine Customer Feedback”

(OMB Control Number: 1225-0088)

Shape1 TITLE OF INFORMATION COLLECTION: ETA Webinar Technical Assistance Customer Feedback Survey


PURPOSE:


In FY 2014, ETA, Measures:

  • Webinar Reaction-Satisfaction: End-of-webinar survey responses.

  • Decision to adopt/implement: 30-45-day post-webinar survey responses for priority webinars.

DESCRIPTION OF RESPONDENTS:


Participants in selected ETA webinars hosted on ETA’s Workforce3One.org technical assistance platform will be asked for feedback related to a webinar they participated in.


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: Jennifer Pirtle, OWI


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, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [x] n/a [ ] Yes [ ] No

  3. If Applicable, has a System or Records Notice been published? [x] n/a [ ] Yes [ ] No


Gifts or Payments:

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


BURDEN HOURS


Category of Respondent

No. of Respondents

Est. Participation Time

Burden

Individuals (webinar participants) – immediately after

3500

<2 min

117 hours

Individuals (webinar participants) – 30-45 days after

1750

<3 min

88 hours

Totals

5250


205

hours


FEDERAL COST: Total annualized staff costs for analyzing the survey responses are estimated at $44.88 per hour times 20 hours or $900. ETA derives the wage figure from the current GS schedule for a GS-13, Step 5 employee from the Rest of the U.S. pay schedule (https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2014/RUS_h.pdf).


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?


Because webinar participants must register to attend, we have a readily accessible list of potential survey respondents. We plan to survey for certain categories of webinars, and when we do we will send the survey to all registered participants.


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? [ ] 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: ETA Webinar Technical Assistance Customer Feedback Survey


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 (in minutes) and divide by 60 to derive the total hours.


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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