Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
ORE 30 Day Notice.pdf Supplementary Document	2013-12-06
60 Day Notice (CSOSA Offender Survey 4-22-13) (5).pdf Supplementary Document	2013-12-06
ORE 83-I Signed.pdf Supplementary Document	2013-12-06
ORE Sample Surveys 120613.doc Supplementary Document	2013-12-06
Generic Clearance Submission-Request for Approval -120613.doc Supplementary Document	2013-12-06
Generic Clearance Part B 032813 (3).doc Supporting Statement B	2013-12-06
Generic Clearance Part A- 120613.docx Supporting Statement A	2013-12-06

IC Document Collections

IC ID	Document Title	Status
215355	CJAN MEETING PARTICIPANT FEEDBACK FORM Other-null	New
215354	MPD PARTNERSHIP TRAINING SESSION SURVEY Other-null	New
215351	Community Resource Day - Presenter Form Other-null	New
215350	Community Resource Day - Program Participant Feedback Form Other-null	New

ICR Details

OMB Control No: 3225-0002	ICR Reference No: 201312-3225-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CSOSA	Agency Tracking No: 07-181
Title: Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/03/2014
	Date Received in OIRA: 12/06/2013
Terms of Clearance: The agency may request approval of individual collections that are consistent with the certification provisions in the document attached in the supplementary documents section of this ICR package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved
Responses	1,340	0	0
Time Burden (Hours)	69	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The surveys collects qualitative customer and stakeholder feedback that will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with services, or focus attention on areas where communication, training or changes in operations might improve delivery of product or services that are not statistical surveys that yield quantitative results but that can be generalized to the population of study.

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Authorizing Statute(s): PL: Pub.L. 105 - 33 00 Name of Law: National Capital Revialization and Self-Government Improvement Act of 1997
  

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:
	78 FR 23755	04/22/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 44099	07/23/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Community Resource Day - Program Participant Feedback Form
CJAN MEETING PARTICIPANT FEEDBACK FORM
Community Resource Day - Presenter Form
MPD PARTNERSHIP TRAINING SESSION SURVEY

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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	1,340	0	0	1,340	0	0
Annual Time Burden (Hours)	69	0	0	69	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 agency decided to reduce the number and size of the focus groups that will be part of the survey sampling.

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Annual Cost to Federal Government: $19,160

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: 12/06/2013

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