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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SRS Reader Response Website	Form and Instruction	New	Available
Form FS-1600-21 PNW Reader Response Card	Form and Instruction	New	Available
Form FS-GT-1600-3 Grey Towers Event Comment Card	Form	New	Available
Form Fs-GT-1600-2 Grey Towers Conservation Education Program Evaluation	Form	New	Available
Form FS-GT-1600-1 Grey Towers Conference Services Evaluation Questionnaire	Form	New	Available
Draft Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2011-05-03	Available
FS Generic Clearance SuptStmt Part B.docx	Supporting Statement B	Uploaded 2011-05-02	Available
FS Generic Clearance SuptStmt Part A.docx	Supporting Statement A	Uploaded 2011-05-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
210885	2014 Type 2 IA & Type 2 Crew Utilization and Fire Shelter Design Surveys	Other-Online Survey	New
210058	Research Publication Comment Cards	Form and Instruction	New	SRS Reader Response Website
210058	Research Publication Comment Cards	Form and Instruction	New	PNW Reader Response Card
206049	Grey Towers Event Comment Card form FS-GT-1600-3	Form	New	Grey Towers Event Comment Card
206043	Grey Towers Conservation Education Program Evaluation form FS-GT-1600-2	Form	New	Grey Towers Conservation Education Program Evaluation
206042	Grey Towers Conference Services Evaluation Questionnaire Form FS-GT-1600-1	Form	New	Grey Towers Conference Services Evaluation Questionnaire

ICR Details

OMB Control No: 0596-0226	ICR Reference No: 201105-0596-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Forest Service 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: 07/08/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	36 Months From Approved
Responses	3,500,000	0	0
Time Burden (Hours)	875,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the agency to gardner customer and stakeholder feedback in an efficient, timely manner, in accordance with our committment to improving service delivery. The information collected from our customers and stakholders will help ensure that users have an effective, efficient, and satisfying experience with the agency's programs. This feedback will provide insights in to customer or stakholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, colloaborative and actionable communication between the agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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 80542	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 23536	04/27/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
2014 Type 2 IA & Type 2 Crew Utilization and Fire Shelter Design Surveys
Grey Towers Conference Services Evaluation Questionnaire Form FS-GT-1600-1	FS-GT-1600-1	Grey Towers Conference Services Evaluation Questionnaire
Grey Towers Conservation Education Program Evaluation form FS-GT-1600-2	Fs-GT-1600-2	Grey Towers Conservation Education Program Evaluation
Grey Towers Event Comment Card form FS-GT-1600-3	FS-GT-1600-3	Grey Towers Event Comment Card
Research Publication Comment Cards	None, FS-1600-21	PNW Reader Response Card ,   SRS Reader Response Website

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ICR Summary of Burden

table that charts list 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	3,500,000	0	0	3,500,000	0	0
Annual Time Burden (Hours)	875,000	0	0	875,000	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 collection.

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Annual Cost to Federal Government:

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: 05/03/2011

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