DOI Programmatic Clearance for Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
BIE Summer Institute Planning Instrument	Form and Instruction	New	Available
Teacher Field Trip Evaluation	Form and Instruction	New	Available
Student Field Trip Evaluation	Form and Instruction	New	Available
GGNRA Non-respondent Survey	Form and Instruction	New	Available
Golden Gate National Recreation Area Dog Walking Survey	Form and Instruction	New	Available
National Park Service Concessioner Survey	Form	New	Available
Form S-1 Parent Survey -- Special Education	Form and Instruction	New	Available
Interview Guide	Form and Instruction	New	Available
Past Participant Survey	Form and Instruction	New	Available
USGS Colorado Plateau Conference Satisfaction Survey	Form and Instruction	New	Available
BLM Visitor Survey	Form and Instruction	New	Available
30-day FR notice.pdf	Supplementary Document	Uploaded 2012-03-30	Available
SS-B_1040-0001_2012.docx	Supporting Statement B	Uploaded 2012-03-26	Available
60-day-FR-notice.pdf	Supplementary Document	Uploaded 2012-03-24	Available
Guidelines for Submission--2012.docx	Supplementary Document	Uploaded 2012-03-24	Available
Justification Form-2012-for a Survey under 1040-0001.docx	Supplementary Document	Uploaded 2012-03-24	Available
Executive_Order_13571.pdf	Supplementary Document	Uploaded 2012-03-24	Available
EO-12862.pdf	Supplementary Document	Uploaded 2008-03-27	Available
GPRA_PL103-62_03AUG93.pdf	Supplementary Document	Uploaded 2008-03-27	Available
SS-A_1040-0001_2012-rev.docx	Supporting Statement A	Uploaded 2012-06-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215156	BLM Arcata Field Office Visitor Satisfaction Survey	Other-Survey Instrument	New
206199	IAC Customer Satisfaction Survey	Other-Survey	New
204413	Participant Satisfaction Survey -- EDMAP program	Other-survey	New
203030	USGS National Atlas User Survey	Other-Focus Group Guide	New
202778	2012 BIE Summer Institute Satisfaction Survey	Other-Survey	New
201681	Booker T. Washington National Monument Formative Exhibition Evaluation Survey	Other-Questionnaire	New
201680	Visitor Services Project Evaluation of Customer Service at Boston Harbor Islands National Recreation Area	Other-Survey	New
201679	BIE Summer Institute Planning Instrument	Form and Instruction	New	None
201678	Palo Alto Field Trip Evaluation	Form and Instruction	New	Teacher Field Trip Evaluation
201678	Palo Alto Field Trip Evaluation	Form and Instruction	New	Student Field Trip Evaluation
201677	Golden Gate National Recreation Area Dog Management Plan Survey	Form and Instruction	New	GGNRA Non-respondent Survey
201677	Golden Gate National Recreation Area Dog Management Plan Survey	Form and Instruction	New	Golden Gate National Recreation Area Dog Walking Survey
201676	National Park Service Visitor Satisfaction with Concessioners Survey	Form	New	National Park Service Concessioner Survey
201675	Parent Satisfaction Survey -- Special Education	Form and Instruction	New	Parent Survey -- Special Education
201674	Assessing Customer Satisfaction with Riparian Training	Form and Instruction	New	Interview Guide
201674	Assessing Customer Satisfaction with Riparian Training	Form and Instruction	New	Past Participant Survey
201674	Assessing Customer Satisfaction with Riparian Training	Instruction	New
201673	USGS Colorado Plateau Conference Satisfaction Survey	Form and Instruction	New	USGS Colorado Plateau Conference Satisfaction Survey
201672	BLM Visitor Satisfaction Survey	Form and Instruction	New	BLM Visitor Survey

ICR Details

OMB Control No: 1040-0001	ICR Reference No: 201203-1040-002
Status: Historical Active	Previous ICR Reference No: 200803-1040-002
Agency/Subagency: DOI/OPPM	Agency Tracking No:
Title: DOI Programmatic Clearance for Customer Satisfaction Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/18/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/30/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2012
Responses	360,000	0	120,000
Time Burden (Hours)	54,000	0	18,000
Cost Burden (Dollars)	0	0	0

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Abstract: The programmatic clearance enables Interior bureaus and offices to conduct customer research through external surveys such as questionnaires and comment cards to improve the services and products DOI provides to the public.

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Authorizing Statute(s): PL: Pub.L. 103 - 62 1-11 Name of Law: Government Performance and Results Act of 1993
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   EO: EO 13571 Name/Subject of EO: Streamling Service Delivery and Improving Customer Service
  

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:
	76 FR 77244	12/12/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 19307	03/30/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 15

table that charts list of burden

IC Title	Form No.	Form Name
2012 BIE Summer Institute Satisfaction Survey
Assessing Customer Satisfaction with Riparian Training	None, None	Past Participant Survey ,   Interview Guide
BIE Summer Institute Planning Instrument	None	None
BLM Arcata Field Office Visitor Satisfaction Survey
BLM Visitor Satisfaction Survey	None	BLM Visitor Survey
Booker T. Washington National Monument Formative Exhibition Evaluation Survey
Golden Gate National Recreation Area Dog Management Plan Survey	None, None	Golden Gate National Recreation Area Dog Walking Survey ,   GGNRA Non-respondent Survey
IAC Customer Satisfaction Survey
National Park Service Visitor Satisfaction with Concessioners Survey	None	National Park Service Concessioner Survey
Palo Alto Field Trip Evaluation	None, None	Student Field Trip Evaluation ,   Teacher Field Trip Evaluation
Parent Satisfaction Survey -- Special Education	S-1	Parent Survey -- Special Education
Participant Satisfaction Survey -- EDMAP program
USGS Colorado Plateau Conference Satisfaction Survey	None	USGS Colorado Plateau Conference Satisfaction Survey
USGS National Atlas User Survey
Visitor Services Project Evaluation of Customer Service at Boston Harbor Islands National Recreation Area

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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	360,000	120,000	0	0	240,000	0
Annual Time Burden (Hours)	54,000	18,000	0	0	36,000	0
Annual Cost Burden (Dollars)	0	0	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:

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Annual Cost to Federal Government: $2,464,020

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: 03/30/2012

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