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

Forms and Documents

Document Name	Status
Supply Chain Conf. Registration Form/Focus Group To Test Form Form and Instruction	New
Summer of Innovation (SoI) Project Review Meeting Customer Feedback Form and Instruction	New
GCCE Prior Awardee Closeout Questionnaire Form and Instruction	New
NICE 2011 New PI Orientation Meeting Evaluation Form and Instruction	New
IGCCE FY2011 Awardee Entrance Questionnaire Form and Instruction	New
NASA STI Impact Questionnaire Form and Instruction	New
MSFC Customer Satisfaction Assessment Form and Instruction	New
2011 OCIO IT Summit Post Conference Customer Satisfaction Survey Form and Instruction	New
Generic Clearance Submission Template Form and Instruction	New
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Part B.doc Supporting Statement B	2011-05-12
Generic_Clearance_for_the_Collection_of_Qualitative_Feedback_on_Agency_Service_Delivery_Part_A.docx Supporting Statement A	2011-06-24

IC Document Collections

IC ID	Document Title	Status
209273	NASA 2013 Ombudsman Program Survey Other-Survey	New
205066	NASA JSC Space Day Registration Instruction	New
204498	ARISS and Live In-Flight Downlink Other-null	New
203968	Supply Chain Conf. Registration Form/Focus Group To Test Form Form and Instruction	New
203721	NASA Airborne Acience Program Customer Feedback Instruction	New
200067	Summer of Innovation (SoI) Project Review Meeting Customer Feedback Form and Instruction	New
199665	GCCE Prior Awardee Closeout Questionnaire Form and Instruction	New
199663	NICE 2011 New PI Orientation Meeting Evaluation Form and Instruction	New
199653	IGCCE FY2011 Awardee Entrance Questionnaire Form and Instruction	New
199121	NASA STI Impact Questionnaire Form and Instruction	New
199114	MSFC Customer Satisfaction Assessment Form and Instruction	New
198897	2011 OCIO IT Summit Post Conference Customer Satisfaction Survey Form and Instruction	New
197679	Generic Clearance Submission Template Form and Instruction	New

ICR Details

OMB Control No: 2700-0153	ICR Reference No: 201105-2700-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: 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 with change	Conclusion Date: 06/24/2011
	Date Received in OIRA: 05/12/2011
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under the generic approval, NASA must do the following: 1) Unless the Agency is using multiple modes of collection (e.g. paper forms and electronic submissions), provide a Generic Clearance Submission template for each Instrument: 2) If NASA is using multiple modes of collection (e.g. paper forms and electronic submissions), the same Generic Submission template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved
Responses	60,000	0	0
Time Burden (Hours)	15,000	0	0
Cost Burden (Dollars)	15,000	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): None

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:
	11 FR 32	04/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 32	04/13/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
2011 OCIO IT Summit Post Conference Customer Satisfaction Survey	n/a	n/a
NICE 2011 New PI Orientation Meeting Evaluation	n/a	n/a
Supply Chain Conf. Registration Form/Focus Group To Test Form	NA	Conference/Seminar/Tour Registration for Supply Chain 2012
NASA JSC Space Day Registration
NASA STI Impact Questionnaire	n/a	n/a
ARISS and Live In-Flight Downlink
NASA Airborne Acience Program Customer Feedback
Generic Clearance Submission Template	n/a	Generic Clearance Submission Template
GCCE Prior Awardee Closeout Questionnaire	n/a	n/a
NASA 2013 Ombudsman Program Survey
IGCCE FY2011 Awardee Entrance Questionnaire	n/a	n/a
MSFC Customer Satisfaction Assessment	n/a	n/a
Summer of Innovation (SoI) Project Review Meeting Customer Feedback	n/a	n/a

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ICR Summary 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	60,000	0	0	60,000	0	0
Annual Time Burden (Hours)	15,000	0	0	15,000	0	0
Annual Cost Burden (Dollars)	15,000	0	0	15,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: NASA is complying with the requirements for the 'Fast Track' Clearance Process.

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Annual Cost to Federal Government: $15,000

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: 05/12/2011

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