CDX Satisfaction Survey

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2010-0042)

T ITLE OF INFORMATION COLLECTION: Central Data Exchange (CDX) Customer Satisfaction Survey

PURPOSE: To solicit the levels of customer satisfaction of users of the Central Data Exchange in order to enhance the performance of the Central Data Exchange.

This data will be used in the CDX Performance Measures program to provide a full look at CDX’s strengths and possible areas of improvement to better serve its customers.

DESCRIPTION OF RESPONDENTS: Respondents will be users of the Central Data Exchange.

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: Primary Contact: Tina Chen – [email protected] - 202.566.0248

Secondary Contact: – Michael Hart – [email protected] - 202.566.1696

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? [ ] Yes [ ] No NA

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

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	Participation Time	Burden
Private Sector	~1750 sent @ 25% rate = 438 respondents	6 minutes	2628 minutes
State, local, or tribal governments	~1750 sent @ 25% rate = 438 respondents	6 minutes	2628 minutes
Annual	876 respondents		87.6 hours
Total (3 years)	2628 respondents		262.8 hours

FEDERAL COST: The estimated annual cost to the Federal government is 50 hrs x $116.14 technical hourly rate = $5,807

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?

A subset of active CDX users are pulled from the CDX user list. This subset is defined alphabetically and contains approximately 3500 users. The alphabetical parameters are shifted each year to reduce burden on the same people from year to year.

Example:

Year 1 – Users with last name A-D

Year 2 – Users with last name E-G

Year 3 – Users with last name H-K

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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