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

Forms and Documents

Document	Type	Status	Availability
Generic Clearance Collection of Qualitative Supporting Statement Rev3.docx	Supporting Statement A	Uploaded 2012-04-25	Available
Justification for increase 3-27-12 rev 3.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-04-25	Available
Supporting Statement for Generic Information Collection Submissions Part B 4-14-11.docx	Supporting Statement B	Uploaded 2011-04-14	Available
Generic Clearance collection tool Submission Template.docx	Supplementary Document	Uploaded 2011-04-14	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
211110	Feedback Block for FEMP Website	Other-Survey	New
209552	Green Power Website and Listserve Customer Feedback	Other-Survey	New
209161	Feedback Widget for DOE Websites - AFDC-SEE	Other-survey	New
208375	Oak Ridge Site Specific Advisory Board Public Environmental Survey	Other-Survey	New
208337	Employee Suggestion Initiative	Other-Survey	New
208183	DOE Info. Technology Services VDI Pilot User Survey	Other-Survey	New
206904	Vehicle Technologies Office Online Usability Activity	Other-Online Usability	New
203996	Geothermal Technologies Program Online Event Feedback Survey	Other-Survey	New
203836	DOE-LM Communication and Outreach Stakeholder Satisfaction Survey	Other-Survey	New
203733	Fueleconomy.gov User Survey	Other-Survey	New
203560	Science.gov User Survey	Other-Survey	New
203458	Wind Program Newsletter Survey	Other-Survey	New
202853	Profiling Tool Users Survey - DCPro	Other-Survey	New
202527	Science.gov User Survey	Other-Survey	New
201941	DOE Information Management Conference Feedback	Other-Survey	Removed
201309	Energy Efficiency and Renewable Energy Website Usability Test	Other-Survey	Removed
200988	Vehicle Technologies Program WebSite User Survey Questions	Other-Survey	Removed
199724	Energy Efficiency and Renewable Energy Website Audience Survey	Other-survey	Removed
199186	Geothermal Technologies Program Website Survey	Other-Survey	Removed
199109	OCIO Communications Survey	Other-Survey and Justification	Removed

ICR Details

OMB Control No: 1910-5160	ICR Reference No: 201204-1910-004
Status: Historical Active	Previous ICR Reference No: 201108-1910-017
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Chris Rouleau
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 with change	Conclusion Date: 05/18/2012
	Date Received in OIRA: 04/25/2012
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.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	06/30/2014	06/30/2014
Responses	222,000	0	2,220
Time Burden (Hours)	111,000	0	111,000
Cost Burden (Dollars)	0	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): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	75 FR 80542	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 72	04/14/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Energy Efficiency and Renewable Energy Website Usability Test
Oak Ridge Site Specific Advisory Board Public Environmental Survey
Feedback Block for FEMP Website
DOE Info. Technology Services VDI Pilot User Survey
Vehicle Technologies Office Online Usability Activity
Wind Program Newsletter Survey
DOE-LM Communication and Outreach Stakeholder Satisfaction Survey
Energy Efficiency and Renewable Energy Website Audience Survey
Green Power Website and Listserve Customer Feedback
Fueleconomy.gov User Survey
Science.gov User Survey
Profiling Tool Users Survey - DCPro
Vehicle Technologies Program WebSite User Survey Questions
DOE Information Management Conference Feedback
Employee Suggestion Initiative
Geothermal Technologies Program Online Event Feedback Survey
OCIO Communications Survey
Geothermal Technologies Program Website Survey
Science.gov User Survey
Feedback Widget for DOE Websites - AFDC-SEE

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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	222,000	2,220	0	219,780	0	0
Annual Time Burden (Hours)	111,000	111,000	0	0	0	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:

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 04/25/2012

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