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
Form 1 1	Form and Instruction	New	Available
Form 1 Arts Ed Institute Survey	Form and Instruction	New	Available
Form 1 Design for Accessibility Needs Assessment Survey	Form and Instruction	New	Repair queued
Form 1 Data Portal Web Survey	Form and Instruction	New	Available
Form 1 Blue Star Museum Participant Survey	Form and Instruction	New	Available
Form 1 1	Form and Instruction	New	Available
Form 4 Portal Interview Questions - Focus Groups	Form and Instruction	New	Available
Form 3 Portal Interview Questions - Grant Officers	Form and Instruction	New	Available
Form 2 Portal Interview Questions - GMS	Form and Instruction	New	Available
Form 1 Portal Interview Questions - Exec	Form and Instruction	New	Available
Form 1 NEA Affect Study_2nd Wave of Feedback from Grantees	Form and Instruction	New	Available
Form 1 Request for Grantee Feedback	Form and Instruction	New	Available
Form 1 OTI Task 4_Round 1_Interview Protocol_omb_submit	Form and Instruction	New	Available
Form 1 Round 1 Interview Protocol	Form and Instruction	New	Available
Form 1 Interview protocol	Form and Instruction	New	Available
Form 2b Film_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	New	Available
Form 2a Film_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	New	Available
Form 1b Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	New	Available
Form 1a Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	New	Available
Form 10 Theater_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 9 Theater_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 8 Opera_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 7 Opera_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 6 Music_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 5 Music_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 4 Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 3 Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 2 Dance_Paper_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
Form 1 Dance_Online_Questionnaire_Pilot-Audience Affected Survey	Form and Instruction	Modified	Available
State Arts Agency and Regional Arts Organization Data Management Survey 2011	Form and Instruction	Unchanged	Available
Blue Star Museums Participant Survey Summer 2011	Form and Instruction	Unchanged	Available
ELI 6 Survey	Form and Instruction	Unchanged	Available
GC_Audience Affected Survey_Live Performances_Justification for NonSubstantive Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-12-21	Available
Generic Clearance for the Collection of Qualaitative Feedback on Agency Service Delivery NEA Part B.docx	Supporting Statement B	Uploaded 2011-07-14	Available
Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2011-04-20	Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery_NEA_FINAL.docx	Supporting Statement A	Uploaded 2011-03-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205027	Design for Accessibility Survey 2 11-30-12 - private	Form and Instruction	New	1
204353	Arts Education Managers' Professional Development Institute Evaluation	Form and Instruction	New	Arts Ed Institute Survey
204205	Design for Accessibility Needs Assessment Survey	Form and Instruction	New	Design for Accessibility Needs Assessment Survey
204003	Data Portal Web Survey	Form and Instruction	New	Data Portal Web Survey
203891	Blue Star Museum Survey 2012	Form and Instruction	New	Blue Star Museum Participant Survey
203799	Assessment of Needs for Data Portal Part 2	Form and Instruction	New	1
203513	Assessment of Needs for Data Portal	Form and Instruction	New	Portal Interview Questions - Focus Groups
203513	Assessment of Needs for Data Portal	Form and Instruction	New	Portal Interview Questions - Grant Officers
203513	Assessment of Needs for Data Portal	Form and Instruction	New	Portal Interview Questions - GMS
203513	Assessment of Needs for Data Portal	Form and Instruction	New	Portal Interview Questions - Exec
203386	Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)	Form and Instruction	New	NEA Affect Study_2nd Wave of Feedback from Grantees
202000	Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study	Form and Instruction	New	Request for Grantee Feedback
200746	Our Town Indicators Study	Form and Instruction	New	OTI Task 4_Round 1_Interview Protocol_omb_submit
200734	Our Town Study Interview Protocol	Form and Instruction	New	Round 1 Interview Protocol
200666	Your Town Focus Groups	Form and Instruction	New	Interview protocol
200573	Pilot Study Audience Affected Survey_Exhibitions and Film Events	Form and Instruction	New	Film_Paper_Questionnaire_Pilot-Audience Affected Survey
200573	Pilot Study Audience Affected Survey_Exhibitions and Film Events	Form and Instruction	New	Film_Online_Questionnaire_Pilot-Audience Affected Survey
200573	Pilot Study Audience Affected Survey_Exhibitions and Film Events	Form and Instruction	New	Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey
200573	Pilot Study Audience Affected Survey_Exhibitions and Film Events	Form and Instruction	New	Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Theater_Paper_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Theater_Online_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Opera_Paper_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Opera_Online_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Music_Paper_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Music_Online_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Dance_Paper_Questionnaire_Pilot-Audience Affected Survey
200404	Pilot Study Audience Affected Survey_Live Performances	Form and Instruction	Modified	Dance_Online_Questionnaire_Pilot-Audience Affected Survey
199712	State Arts Agency and Regional Arts Organization Data Management Survey 2011	Form and Instruction	Unchanged	State Arts Agency and Regional Arts Organization Data Management Survey 2011
199152	Blue Star Museums Participant Survey	Form and Instruction	Unchanged	Blue Star Museums Participant Survey Summer 2011
198487	Education Leaders Institute Survey	Form and Instruction	Unchanged	ELI 6 Survey

ICR Details

OMB Control No: 3135-0130	ICR Reference No: 201112-3135-002
Status: Historical Active	Previous ICR Reference No: 201103-3135-004
Agency/Subagency: NEA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
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: Approved without change	Conclusion Date: 12/21/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/21/2011
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an 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 the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance 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.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	04/30/2014	04/30/2014
Responses	7,091	0	7,091
Time Burden (Hours)	3,558	0	3,558
Cost Burden (Dollars)	55,333	0	55,333

---

Abstract: This collection of information is necessary to enable NEA 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.

---

Authorizing Statute(s): US Code: 20 USC 954 Name of Law: National Foundation on the Arts and Humanities Act of 1965
  

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 245	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 5705	03/14/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 17

table that charts list of burden

IC Title	Form No.	Form Name
Arts Education Managers' Professional Development Institute Evaluation	1	Arts Ed Institute Survey
Assessment of Needs for Data Portal	1, 2, 3, 4	Portal Interview Questions - Exec ,   Portal Interview Questions - GMS ,   Portal Interview Questions - Grant Officers ,   Portal Interview Questions - Focus Groups
Assessment of Needs for Data Portal Part 2	1	1
Blue Star Museum Survey 2012	1	Blue Star Museum Participant Survey
Blue Star Museums Participant Survey	N/A	Blue Star Museums Participant Survey Summer 2011
Data Portal Web Survey	1	Data Portal Web Survey
Design for Accessibility Needs Assessment Survey	1	Design for Accessibility Needs Assessment Survey
Design for Accessibility Survey 2 11-30-12 - private	1	1
Education Leaders Institute Survey	N/A	ELI 6 Survey
Our Town Indicators Study	1	OTI Task 4_Round 1_Interview Protocol_omb_submit
Our Town Study Interview Protocol	1	Round 1 Interview Protocol
Pilot Study Audience Affected Survey_Exhibitions and Film Events	1a, 1b, 2a, 2b	Exhibition_Online_Questionnaire_Pilot-Audience Affected Survey ,   Exhibition_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Film_Online_Questionnaire_Pilot-Audience Affected Survey ,   Film_Paper_Questionnaire_Pilot-Audience Affected Survey
Pilot Study Audience Affected Survey_Live Performances	8, 9, 10, 6, 7, 2, 5, 1, 3, 4	Dance_Online_Questionnaire_Pilot-Audience Affected Survey ,   Dance_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Literary Program_Online_Questionnaire_Pilot-Audience Affected Survey ,   Literary Program_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Music_Online_Questionnaire_Pilot-Audience Affected Survey ,   Music_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Opera_Online_Questionnaire_Pilot-Audience Affected Survey ,   Opera_Paper_Questionnaire_Pilot-Audience Affected Survey ,   Theater_Online_Questionnaire_Pilot-Audience Affected Survey ,   Theater_Paper_Questionnaire_Pilot-Audience Affected Survey
Request for Grantee Feedback from the Audience Affected Survey (Pilot Study)	1	NEA Affect Study_2nd Wave of Feedback from Grantees
Solicitation of Grantee Feedback for the Audience Affected Survey Pilot Study	1	Request for Grantee Feedback
State Arts Agency and Regional Arts Organization Data Management Survey 2011	N/A	State Arts Agency and Regional Arts Organization Data Management Survey 2011
Your Town Focus Groups	1	Interview protocol

---

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	7,091	7,091	0	0	0	0
Annual Time Burden (Hours)	3,558	3,558	0	0	0	0
Annual Cost Burden (Dollars)	55,333	55,333	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The National Endowment for the Arts is committed to improving its service delivery. The increase in burden is anticipated because of several new information collections proposed during the next three-year period. First, a grantee applicant satisfaction survey will collect information from grant applicants in order to improve the Agency's grant application guidance; the data will also be used to report on a performance measure related to the Agency's FY12-16 Strategic Plan. The NEA also anticipates increasing feedback from individuals who participate in its programs and initiatives through the use of evaluation questionnaires. 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 generic clearance will also be used for two pilots of survey instruments intended to improve the Agency's understanding of American audiences for the arts. The grantee audience survey (the pilot for which will be supported by this generic clearance) will collect data for one of the Agency's performance measures for its Strategic Plan.

---

Annual Cost to Federal Government: $55,333

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: 12/21/2011

---