Template 3090-0297

Template 3090-0297 (Req-24) Small Business Satisfaction Survey.docx

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

Template 3090-0297

OMB: 3090-0297

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 3090-0297)

Req-24

Shape1

TITLE OF INFORMATION COLLECTION: Small Business Satisfaction Email Survey


PURPOSE:


Obtain customer feedback from vendors who have been awarded General Services Administration (GSA) contracts.


Obtain customer feedback from attendees of GSA Office of Small Business Utilization (OSBU) events and training.


We will use this information to determine OSBU’s Return on Investment (ROI) and to further improve access to GSA’s procurements as well as events and training so that we can tailor our services to meet our customer needs.


DESCRIPTION OF RESPONDENTS:


Private Sector Vendors who have been awarded GSA contracts

Private Sector Vendors attending GSA OSBU events and training for the period of June 2015 through June 2016.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [x]Customer Satisfaction Survey via Email

[ ] 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: Sandra J. Brooks Email: [email protected] Phone: 703-603-8176




To assist review, please provide answers to the following question:


Personally Identifiable Information:


  1. Is personally identifiable information (PII) collected? [ ] Yes [x] No


  1. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [x] No

  1. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [x] No


If PII is collected, please provide a brief statement regarding why PII is necessary, how it will be stored and for how long, and how it will be destroyed once the collection is over.


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 Vendors awarded GSA contracts

1,672

4 minutes

(or .06667 hours)

111.5

hours

Private Sector Vendor Attendees

1,672

4 minutes

(or .06667 hours)

111.5

hours

Totals

3,344

4 minutes

(or .06667 hours) per survey

223 hours


FEDERAL COST: The estimated annual cost to the Federal government is $104.


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)?


Private Sector Vendors who have been awarded GSA contracts.

Private Sector Vendors attending GSA OSBU events and training for the period of June 2015

through June 2016.


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?


Administration of the Instrument


  1. How will you collect the information? (Check all that apply)

[ ] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[x] Mail (Email)

We will conduct survey by sending an email with the survey link

[x] Other, Explain Survey hosted by Google Docs


  1. Will interviewers or facilitators be used? [ ] Yes [x] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSandraJBrooks
File Modified0000-00-00
File Created2021-01-30

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