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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Non-Substantive Change Request-11-21-11.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-11-21	Available
3090-0297 - Supporting Statement-Part B.docx	Supporting Statement B	Uploaded 2011-11-21	Available
OMB-FRN--12-22-2010.pdf	Supplementary Document	Uploaded 2011-08-10	Available
3090-0297 - Supporting Statement-Part A.docx	Supporting Statement A	Uploaded 2011-11-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200229	4Q Satisfaction Survey for Websites on the USA.gov domain	Other-Web survey	New
200187	Mobile Survey-Req-2	Other-Mobile Survey	New
198835	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (GSA)	Other-Template and Instructions	Removed

ICR Details

OMB Control No: 3090-0297	ICR Reference No: 201111-3090-005
Status: Historical Inactive	Previous ICR Reference No: 201108-3090-005
Agency/Subagency: GSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (GSA)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 11/28/2011
	Date Received in OIRA: 11/21/2011
Terms of Clearance: GSA needs to submit requests for an increase in burden separate from approval for any information collections under this generic approval.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	09/30/2014	09/30/2014
Responses	8,350	0	8,350
Time Burden (Hours)	534	0	534
Cost Burden (Dollars)	0	0	0

---

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. This feedback will provide insights into customer or stakeholder 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, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

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 28038	05/13/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Mobile Survey-Req-2
4Q Satisfaction Survey for Websites on the USA.gov domain
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (GSA)

---

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: The request to increase the total number of responses and total burden hours is due to the Agency's increased participation in use of the collection. The agency will identify strengths and weaknesses of current services and make improvements in service delivery based on feedback.

---

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

---

Common Form ICR:  No

---

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: 11/21/2011

---