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 Form Sample Text for Usability Session	Form	New	Available
Form Study Survey Questions	Form	New	Available
Form Survey School Meals Application Test	Form and Instruction	New	Available
Form Demo Questions Focus Group Worksheet	Form	New	Available
Form Consent Form Consent Form	Form	New	Available
Form 0690-0030 Survey questions	Form and Instruction	New	Available
Form ACS-M ACS Revised Mailing Material Protocol	Form and Instruction	New	Available
Form New Experiment Questionnaire	Form and Instruction	New	Available
qMet Expression of Interest Questionnaire	Form and Instruction	New	Available
qMet QA Metabolomics Questionnaire	Form and Instruction	New	Available
NIST Quality Assurance Program (4 Standard Questions)	Form and Instruction	New	Available
MEP Emerging Leaders Program Data Collection (MEP Participants Survey)	Form	New	Available
MEP Emerging Leaders Program Data Collection (Center Directors Survey)	Form	New	Available
Customer Feedback Survey	Form and Instruction	New	Available
Technical Assistance (TA0 Request Form	Form and Instruction	New	Available
Broadband USA Workshop Feedback Survey	Form and Instruction	New	Available
Broadband USA Workshop Feedback	Form and Instruction	New	Available
Survey: Grantees' Business Models and Impact of 15 CFR 400.43	Form and Instruction	New	Available
Customer Service Survey of NOAA's Digital Coastal Website	Form and Instruction	New	Available
PTO - PETTP Presenter Experience Survey	Form and Instruction	New	Available
Survey Monkey Images for Attorney Forms Survey	Form and Instruction	New	Available
2015 Patent Recruitment Road Show Survey Questions	Form and Instruction	New	Available
PTO-AIPLA Legal Secretaries and Administrator's Conference Survey	Form	New	Available
PTO Public Search Facility 2014 Customer Satisfaction Survey	Form	New	Available
PTO Global Dossier User Requirement Focus Session Questions	Form	New	Available
PTO - Global Dossier User Requirement Interview Questions	Form	New	Available
PTO Patent Prosecution Highway (PPH) Survey Questions	Form	New	Available
PTO - eMod Forum Denver CO Focus Survey	Form and Instruction	New	Available
Pro Bono Patent Program Quarterly Metric Reporting Quesstionnaire	Form and Instruction	New	Available
PTO Glossary Pilot Prog. External Survey	Form and Instruction	New	Available
PTO eMod Focus Session and Survey	Form and Instruction	New	Available
PTO - Interview Stakeholder Survey	Form and Instruction	New	Available
NWS GIS Survey	Form and Instruction	New	Available
PTO Interview Stakeholder Survey	Form and Instruction	New	Available
2014 National Trademark Expo SEMINAR Survey	Form and Instruction	New	Available
2014 National Trademark Expo EXHIBITOR Survey	Form and Instruction	New	Available
2014 National Trademark Expo ATTENDEE Survey	Form and Instruction	New	Available
ITA Data Services - Application Program Interface (API) Feedback	Form and Instruction	New	Available
Student Evaluation Form	Form	New	Available
After Final Consideration Pilot 2.0 (AFCP 2.0) Survey Questions for External Stakeholders	Form and Instruction	Removed	Available
PTO - Request for Continued Examination Survey	Form and Instruction	Removed	Available
Need for L-Band Service on JPSS-2 and Beyond	Form	Removed	Available
NOAA Harmful Algal Blooms Subscriber List Questionnaire	Form and Instruction	Removed	Available
NOAA-Needs Assessment for Training in Climate & Hazard Adaptation: Discussion Groups	Form and Instruction	Removed	Available
Great Lakes Beach Hazards Interviews	Form and Instruction	Removed	Available
PTO-Trademark Electronic Official Gazette Outreach Survey	Form	Removed	Available
Appearance Release Form	Form	Removed	Available
NIST Services Questions	Form	Removed	Available
Audio and Video Recording Consent Form	Form and Instruction	Removed	Available
Background Information	Form and Instruction	Removed	Available
NOAA - Harmful Algae Website Survey	Form and Instruction	Removed	Available
NOAA Satellite Conference 2013 Feedback Survey	Form and Instruction	Removed	Available
System Usability Scale	Form and Instruction	Removed	Available
Participant Scenario Worksheet	Form and Instruction	Removed	Available
Audio and Video Recording Consent Form	Form and Instruction	Removed	Available
Background Information	Form and Instruction	Removed	Available
International Buyer Program (IBP) Annual Comment Card	Form and Instruction	Unchanged	Available
Audio and Video Recording Consent Form	Form and Instruction	Removed	Available
Background Information	Form and Instruction	Removed	Available
Audio and Video Recording Consent Form	Form and Instruction	Removed	Available
SIPO Search Demographics Form	Form and Instruction	Removed	Available
Volunteer Form	Form and Instruction	Removed	Available
NOAA- QR Code-enabled Feedback Survey	Form and Instruction	Removed	Available
NESDIS HQ Web site Survey	Form and Instruction	Removed	Available
Trade Mission Evaluation Form	Form and Instruction	Unchanged	Available
Business Outlook Conference Evaluation Form	Form and Instruction	Unchanged	Available
Recreational Bluefin Reporting Options Survey	Form and Instruction	Removed	Available
P25 DSR Feedback Form	Form	Removed	Available
VQiPS Tool Feedback Form	Form	Removed	Available
COMMUNICATIONS FOR ANNUAL PROGRAM COMMENT CARD	Form and Instruction	Unchanged	Available
COMMUNICATIONS FOR CASES CLOSED NON-SUCCESSFULLY	Form and Instruction	Unchanged	Available
COMMUNICATIONS FOR CASES CLOSED SUCCESSFULLY	Form and Instruction	Unchanged	Available
Comment Card for Advocacy Center	Form and Instruction	Unchanged	Available
Order Form for NOAA Biogeography Branch Product	Form and Instruction	Removed	Available
Survey of Patent Applicants' Filing Software Usage and Tools	Form and Instruction	Removed	Available
Questions for External Beta Testers of WebEx	Form and Instruction	Removed	Available
SCUTES Educational Kit Evaluation	Form and Instruction	Removed	Available
SCUTES Educational Kit Evaluation	Form and Instruction	Removed	Available
IP Awareness Assessment	Form and Instruction	Removed	Available
Generic Clearance Request Submission.FINAL.doc	Supplementary Document	Uploaded 2014-04-30	Available
0690.0030.SuppStmt.Part B.042914.doc	Supporting Statement B	Uploaded 2014-04-30	Available
0690.0030.SuppStmt.042914.doc	Supporting Statement A	Uploaded 2014-04-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226534	Request for website usability group participants	Form	New	Sample Text for Usability Session
226120	Weekly Behaviors Study	Form	New	Survey Questions
226120	Weekly Behaviors Study	Instruction	New
226119	Online Cognitive Testing of Applications Form for Free and Reduced Price Meals	Form and Instruction	New	School Meals Application Test
225713	Respondent Perceptions of Burden in the American Community Survey (ACS)	Form	New	Focus Group Worksheet
225713	Respondent Perceptions of Burden in the American Community Survey (ACS)	Form	New	Consent Form
225713	Respondent Perceptions of Burden in the American Community Survey (ACS)	Other-Telephone Script	New
225587	Trade Adjustment Assistance for Firms	Other-Survey	New
225160	GroupSolver's Testing of Data Usage Agreement	Other-Pre-screen Questionnaire	New
224945	Census Bureau Decennial Language Research Services, Focus Groups in Seven Languages	Instruction	New
224841	Usability/Cognitive Testing of Privacy and Confidentiality Messages	Form and Instruction	New	Survey questions
224738	Census Bureau Landing Page	Other-	New
224475	Partnership Experience Platform (PXP)	Other-questionnaire	New
224257	2017 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Form and Instruction	New	ACS Revised Mailing Material Protocol
224257	2017 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Other-Consent Form	New
223622	Census Research Methodology Experiment	Form and Instruction	New	Experiment Questionnaire
223622	Census Research Methodology Experiment	Other-	New
223161	DOC/NIST Quality Assurance Program	Form and Instruction	New	qMet Expression of Interest Questionnaire
223161	DOC/NIST Quality Assurance Program	Form and Instruction	New	qMet QA Metabolomics Questionnaire
223161	DOC/NIST Quality Assurance Program	Form and Instruction	New	NIST Quality Assurance Program (4 Standard Questions)
223161	DOC/NIST Quality Assurance Program	Other-	New
222357	NIST MEP Emerging Leaders Program Data Collection	Form	New	MEP Emerging Leaders Program Data Collection (MEP Participants Survey)
222357	NIST MEP Emerging Leaders Program Data Collection	Form	New	MEP Emerging Leaders Program Data Collection (Center Directors Survey)
221916	Technical Assistance (TA) Request Form	Form and Instruction	New	Customer Feedback Survey
221916	Technical Assistance (TA) Request Form	Form and Instruction	New	Technical Assistance (TA0 Request Form
221140	Broadband USA Workshop Feeedback	Form and Instruction	New	Broadband USA Workshop Feedback Survey
221140	Broadband USA Workshop Feeedback	Form and Instruction	New	Broadband USA Workshop Feedback
219483	Surveying the Impact of Customers of 15 CFR 400.43	Form and Instruction	New	Survey: Grantees' Business Models and Impact of 15 CFR 400.43
218938	Customer Service Survey of NOAA's Digital Coast Website	Form and Instruction	New	Customer Service Survey of NOAA's Digital Coastal Website
217727	PTO - PETTP Presenter Experience Survey	Form and Instruction	New	PTO - PETTP Presenter Experience Survey
217584	EDA Customer Satisfaction Survey 2015 (Applicant)	Other-Survey - Applicants	New
217578	EDA Customer Satisfaction Survey 2015 Grantees	Other-Survey Grantees	New
217496	Rate The Agency	Other-Pre Award Survey	New
217429	eFile Attorney Form Prototype Focus group	Other-Focus Group Questions	New
217244	Survey Monkey Images for Attorney Forms Survey	Form and Instruction	New	Survey Monkey Images for Attorney Forms Survey
217180	Understanding the Barriers of Acquiring Relying Parties to NSTIC	Other-Survey Pre-screening Questions	New
216770	Patents Recruitment Roadshow 2015	Form and Instruction	New	2015 Patent Recruitment Road Show Survey Questions
216386	Understanding the Barriers of Acquiring Relying Parties to NSTIC	Other-Survey	New
216228	PTO-AIPLA Legal Secretaries and Administrator's Conference Survey	Form	New	PTO-AIPLA Legal Secretaries and Administrator's Conference Survey
216001	PTO - Public User Survey	Form	New	PTO Public Search Facility 2014 Customer Satisfaction Survey
215902	PTO - Global Dossier User Requirement	Form	New	PTO Global Dossier User Requirement Focus Session Questions
215902	PTO - Global Dossier User Requirement	Form	New	PTO - Global Dossier User Requirement Interview Questions
215519	ITA Application for the Ready Applicant Pool Questioins	Other-Application	New
215437	PTO Patent Prosecution Highway (PPH) Survey Questions	Form	New	PTO Patent Prosecution Highway (PPH) Survey Questions
214860	PTO - eMod Forum Denver CO Focus Session and Survey	Form and Instruction	New	PTO - eMod Forum Denver CO Focus Survey
214827	ITA - Technology Startup Survey	Other-Survey	New
214702	Pro Bono Patent Program Quarterly Metric Reporting Questionnaire	Form and Instruction	New	Pro Bono Patent Program Quarterly Metric Reporting Quesstionnaire
214291	PTO - Glossary Pilot Program External Survey	Form and Instruction	New	PTO Glossary Pilot Prog. External Survey
214172	PTO eMod Focus Session Survey	Form and Instruction	New	PTO eMod Focus Session and Survey
214081	PTO - Interview Stakeholder Survey	Form and Instruction	New	PTO - Interview Stakeholder Survey
214012	NOAA-NWS GIS Data and Product Survey	Form and Instruction	New	NWS GIS Survey
214012	NOAA-NWS GIS Data and Product Survey	Instruction	New
213679	PTO Interview Stakeholder Survey	Form and Instruction	New	PTO Interview Stakeholder Survey
213259	PTO - National Trademark Expo - 2014 Participant Feedback Surveys	Form and Instruction	New	2014 National Trademark Expo SEMINAR Survey
213259	PTO - National Trademark Expo - 2014 Participant Feedback Surveys	Form and Instruction	New	2014 National Trademark Expo EXHIBITOR Survey
213259	PTO - National Trademark Expo - 2014 Participant Feedback Surveys	Form and Instruction	New	2014 National Trademark Expo ATTENDEE Survey
212946	ITA - Data Services - Application Program Interface Feedback	Form and Instruction	New	ITA Data Services - Application Program Interface (API) Feedback
212846	MBDA - Business Center Customer Satisfaction Survey	Other-Survey	New
212255	PTO - Next Generation Electronic Survey Regarding Fee Processing System Access	Other-Survey	New
212215	NOAA-Usibility Testing of Office of Response and Restoration's Website Mobile Design	Other-Script	New
212071	NTIA - Federal Radio Frequency Spectrum Management Course Evaluation Survey	Form	New	Student Evaluation Form
211905	BIS - Authorized Validated End-Users Surveys	Other-Survey	New
211786	NIST - Smart Manufacturing Survey	Other-Survey	New
211783	NOAA - "Let Spinners Sleep" Educational Products and Services Survey	Other-Survey	New
211779	EDA - Customer Satisfaction Survey of EDA Applicants	Other-Survey	New
211778	NOAA - FishWatch.gov Usability Testing	Other-Survey	New
210129	PTO - After Final Consideration Pilot 2.0 Survey	Form and Instruction	Removed	After Final Consideration Pilot 2.0 (AFCP 2.0) Survey Questions for External Stakeholders
209228	NOAA - Local Climate Analysis Tool (LCAT) User Registration	Instruction	Removed
209162	PTO - Request for Continued Examination Survey	Form and Instruction	Removed	None
209074	NOAA - Tropical Cyclone Impact Graphic (TCIG) Focus Groups	Other-List of Questions	Removed
208940	ITA - Commercial Service (CS) Europe (UK) - Client Feedback	Other-Survey	Removed
208484	NOAA - Questionnaire on Current and Planned Use of L-Band Direct Readout Services from the Joint Polar-Orbiting Satellite Systems (JPSS)	Form	Removed	Need for L-Band Service on JPSS-2 and Beyond
208236	NOAA - Harmful Algal Blooms Subscriber List Questionnaire	Form and Instruction	Removed	NOAA Harmful Algal Blooms Subscriber List Questionnaire
208120	Customer Satisfaction Survey of EDA.gov Website Visitors	Other-Survey	Unchanged
207625	ITA - Customer Feedback Survey for U.S. Organizations	Other-Survey	Unchanged
207485	Feedback from Alaskan Fishing Communities: Impacted/Respond or Adapt to Economic, Social, and Environmental Pressures	Other-Survey	Removed
207236	NOAA-ESTC Science Workshop Program Implementation Surveys	Other-Survey	Removed
207235	NOAA - Needs Assessment for Training in Climate and Hazard Adaptation: Discussion Groups	Form and Instruction	Removed	NOAA-Needs Assessment for Training in Climate & Hazard Adaptation: Discussion Groups
207109	NOAA - Great Lakes Beach Hazards Interviews	Form and Instruction	Removed	Great Lakes Beach Hazards Interviews
206919	PTO - Trademark Electronic Official Gazette Customer Satisfaction Survey	Form	Removed	PTO-Trademark Electronic Official Gazette Outreach Survey
206776	NOAA - Needs Assessment for Training in Climate and Hazard Adaption	Instruction	Removed
206689	NOAA - Hawaiian Monk Seal Visitor Education Programming Focus Group	Form	Removed	Appearance Release Form
206689	NOAA - Hawaiian Monk Seal Visitor Education Programming Focus Group	Other-Script Questions	Removed
206657	Alaska Weather Information Line Statewide Survey	Other-Survey	Removed
206465	NIST-Information Resources Needs for Standards Coordination Office (SCO)	Form	Removed	NIST Services Questions
206306	PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives	Form and Instruction	Removed	Audio and Video Recording Consent Form
206306	PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives	Form and Instruction	Removed	Background Information
206306	PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives	Instruction	Removed
206248	MBDA - Customer Satisfaction Survey of MBDA.gov Website Visitors	Other-Survey	Unchanged
206148	NOAA - Harmful Algae Website User Survey	Form and Instruction	Removed	NOAA - Harmful Algae Website Survey
206062	Ofc of Secy - BusinessUSA Contact Center Customer Satisfaction Survey	Other-Audio Survey	Unchanged
205983	NOAA - Storm Surge Marketing Discussion Groups	Other-List of Questions for Discussion	Removed
205873	NOAA - Satellite Conference 2013 Feedback Survey	Form and Instruction	Removed	NOAA Satellite Conference 2013 Feedback Survey
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	Form and Instruction	Removed	System Usability Scale
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	Form and Instruction	Removed	Participant Scenario Worksheet
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	Form and Instruction	Removed	Audio and Video Recording Consent Form
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	Form and Instruction	Removed	Background Information
205757	PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	Other-Facilitator Guide	Removed
205549	ITA - Commercial Services Program Feedback Forms	Form and Instruction	Unchanged	International Buyer Program (IBP) Annual Comment Card
205461	Feedback in Support of U.S. PTO's Next Generation Initiatives	Form and Instruction	Removed	Audio and Video Recording Consent Form
205461	Feedback in Support of U.S. PTO's Next Generation Initiatives	Form and Instruction	Removed	Background Information
205461	Feedback in Support of U.S. PTO's Next Generation Initiatives	Other-Guide	Removed
205306	NOAA-Customer Satisfaction Survey of NOAA Coastal Services Center Technical Assistance	Other-Survey	Unchanged
205213	PTO - Tegernese Group Patent Law Harmonization Feedback	Other-Survey	Removed
205109	NOAA - Shoreline Change Workshop of 2012: Perspectives on the Great Lakes	Other-Survey	Removed
204737	PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative	Form and Instruction	Removed	Audio and Video Recording Consent Form
204737	PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative	Form and Instruction	Removed	SIPO Search Demographics Form
204737	PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative	Other-Facilitator Guide	Removed
204559	NOAA - Stakeholder Feedback on the Selection of NOAA Candidate Habitat Focus Area(s) in California	Other-Survey	Removed
204459	PTO - National Trademark Expo - 2012 Participant Feedback Surveys	Other-Survey	Removed
204344	NIST - Information Resources Needs for the Standards Coordination Office Customers (World Standards Week Event)	Other-Survey	Removed
204018	NTIS - National Technical Reports Library (NTRL) V3.0 Survey	Other-Survey	Removed
204013	MBDA - Rank Your Recommendations: A Survey of Minority Business Development Agency Business Centers	Other-Survey	Removed
203984	Fee Process Next Generation (FPNG) Phone Interviews Regarding Fee Processing System Access and Stored Payment Account Access and Management	Other-Telephone Script and Interview Questions	Removed
203893	Fee Process Next Generation (FPNG) Focus Sessions Regarding Fee Processing System Access and Stored Payment Account Access and Management	Other-Script and List of Questions	Removed
203737	ITA-Commercial Services Program Client Needs Segmentation Focus Groups	Other-	Removed
203644	NTIA-Program Offices Customer Satisfaction Survey	Other-Survey	Removed
203488	PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs	Form and Instruction	Removed	Volunteer Form
203488	PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs	Other-List of Outreach Sessions Questions	Removed
203424	ITA - Commercial Services Program Clients Qualitative Interviews	Other-Interview Guide	Removed
202802	PTO Outreach Sessions with Patent Applicants regarding eFiling and Proposed Future Needs	Other-Survey	Removed
202671	ITA - Commercial Services Program Feedback Comment Cards	Other-Comment Card	Unchanged
202403	NOAA - Quick Response (QR) Code Enabled Nautical Chart Feedback	Form and Instruction	Removed	NOAA- QR Code-enabled Feedback Survey
202247	NOAA: On-line Comments Regarding the Uses of the World Magnetic Model Form	Other-Survey	Removed
202094	NOAA: On-line Comments Regarding the Uses of the Enhanced Magnetic Field Model	Other-Survey	Removed
201918	NOAA-Lincoln Park Restoration Site Visitor Survey	Other-Survey	Removed
201766	NESDIS Web site Customer Experience Survey	Form and Instruction	Removed	NESDIS HQ Web site Survey
201598	NOAA - Hurricane Forecast Products Customer Poll at National Hurricane Conference	Other-List of Questions	Removed
201452	ITA-Event Evaluation Customer Satisfaction Forms	Form and Instruction	Unchanged	Trade Mission Evaluation Form
201452	ITA-Event Evaluation Customer Satisfaction Forms	Form and Instruction	Unchanged	Business Outlook Conference Evaluation Form
201321	NOAA-Survey for Soliciting Feedback on the NMFS Recreational Bluefin Tuna Reporting System	Form and Instruction	Removed	Recreational Bluefin Reporting Options Survey
201258	NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms	Form	Removed	P25 DSR Feedback Form
201258	NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms	Form	Removed	VQiPS Tool Feedback Form
200998	PTO-Patent Reengineering - Applicant Feedback Word Validation Tool	Other-List of Questions	Removed
200900	ITA-Trade Agreements Compliance Program Customer Comments Cards	Form and Instruction	Unchanged	COMMUNICATIONS FOR ANNUAL PROGRAM COMMENT CARD
200900	ITA-Trade Agreements Compliance Program Customer Comments Cards	Form and Instruction	Unchanged	COMMUNICATIONS FOR CASES CLOSED NON-SUCCESSFULLY
200900	ITA-Trade Agreements Compliance Program Customer Comments Cards	Form and Instruction	Unchanged	COMMUNICATIONS FOR CASES CLOSED SUCCESSFULLY
200685	ITA-Advocacy Center Customer Satisfaction Comment Card	Form and Instruction	Unchanged	Comment Card for Advocacy Center
200240	NOAA-Hawaiian Monk Seal Public Service Announcement Focus Groups	Other-Script and List of Questions	Removed
199786	NOAA-Biogeographic Assessment Product Requests	Form and Instruction	Removed	Order Form for NOAA Biogeography Branch Product
199680	EDA-Grant Application Process Improvement Survey	Other-Survey	Removed
199309	PTO-Survey of Paten Applicants' Filing Software Usage and Tools	Form and Instruction	Removed	Survey of Patent Applicants' Filing Software Usage and Tools
199220	WebEx Stakeholder Testing	Form and Instruction	Removed	Questions for External Beta Testers of WebEx
198679	NOAA-Probabilistic Hydrologic Outlook Survey	Other-Survey	Removed
198511	NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation	Form and Instruction	Removed	SCUTES Educational Kit Evaluation
198511	NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation	Form and Instruction	Removed	SCUTES Educational Kit Evaluation
198411	NOAA-Fishing Around Sea Turtles" Products and Services Survey	Other-survey	Removed
198286	Customer Results Survey on EDA/ITA Trade & Investment Programs	Other-Survey	Removed
198147	Intellectual Property (IP) Awareness Assessment Tool Feedback	Form and Instruction	Removed	IP Awareness Assessment
198147	Intellectual Property (IP) Awareness Assessment Tool Feedback	Other-Survey Questions	Removed
197940	Export.gov Customer Feedback Form	Other-survey	Unchanged
197506	Patents End-to-End System Customer Feedback on Online Payment Process	Other-List of Questions	Removed
197437	Patents End-to-End System Customer Feedback Focus Sessions	Other-List of Questions	Removed

ICR Details

OMB Control No: 0690-0030	ICR Reference No: 201402-0690-001
Status: Historical Active	Previous ICR Reference No: 201103-0690-001
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/03/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/30/2014
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	06/30/2017	36 Months From Approved	06/30/2014
Responses	244,710	0	489,420
Time Burden (Hours)	75,711	0	126,267
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): None

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:
	79 FR 9159	02/18/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 23931	04/29/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 62

table that charts list of burden

IC Title	Form No.	Form Name
2017 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	ACS-M	ACS Revised Mailing Material Protocol
Alaska Weather Information Line Statewide Survey
BIS - Authorized Validated End-Users Surveys
Broadband USA Workshop Feeedback	NA, NA	Broadband USA Workshop Feedback ,   Broadband USA Workshop Feedback Survey
Census Bureau Decennial Language Research Services, Focus Groups in Seven Languages
Census Bureau Landing Page
Census Research Methodology Experiment	New	Experiment Questionnaire
Customer Results Survey on EDA/ITA Trade & Investment Programs
Customer Satisfaction Survey of EDA.gov Website Visitors
Customer Service Survey of NOAA's Digital Coast Website	None	Customer Service Survey of NOAA's Digital Coastal Website
DOC/NIST Quality Assurance Program	NA, NA, NA	NIST Quality Assurance Program (4 Standard Questions) ,   qMet QA Metabolomics Questionnaire ,   qMet Expression of Interest Questionnaire
EDA - Customer Satisfaction Survey of EDA Applicants
EDA Customer Satisfaction Survey 2015 (Applicant)
EDA Customer Satisfaction Survey 2015 Grantees
EDA-Grant Application Process Improvement Survey
Export.gov Customer Feedback Form
Fee Process Next Generation (FPNG) Focus Sessions Regarding Fee Processing System Access and Stored Payment Account Access and Management
Fee Process Next Generation (FPNG) Phone Interviews Regarding Fee Processing System Access and Stored Payment Account Access and Management
Feedback from Alaskan Fishing Communities: Impacted/Respond or Adapt to Economic, Social, and Environmental Pressures
Feedback in Support of U.S. PTO's Next Generation Initiatives	none, none	Background Information ,   Audio and Video Recording Consent Form
GroupSolver's Testing of Data Usage Agreement
ITA - Commercial Service (CS) Europe (UK) - Client Feedback
ITA - Commercial Services Program Clients Qualitative Interviews
ITA - Commercial Services Program Feedback Comment Cards
ITA - Commercial Services Program Feedback Forms	NA	International Buyer Program (IBP) Annual Comment Card
ITA - Customer Feedback Survey for U.S. Organizations
ITA - Data Services - Application Program Interface Feedback	None	ITA Data Services - Application Program Interface (API) Feedback
ITA - Technology Startup Survey
ITA Application for the Ready Applicant Pool Questioins
ITA-Advocacy Center Customer Satisfaction Comment Card	None	Comment Card for Advocacy Center
ITA-Commercial Services Program Client Needs Segmentation Focus Groups
ITA-Event Evaluation Customer Satisfaction Forms	None, None	Business Outlook Conference Evaluation Form ,   Trade Mission Evaluation Form
ITA-Trade Agreements Compliance Program Customer Comments Cards	None, None, None	COMMUNICATIONS FOR CASES CLOSED SUCCESSFULLY ,   COMMUNICATIONS FOR CASES CLOSED NON-SUCCESSFULLY ,   COMMUNICATIONS FOR ANNUAL PROGRAM COMMENT CARD
Intellectual Property (IP) Awareness Assessment Tool Feedback	None	IP Awareness Assessment
MBDA - Business Center Customer Satisfaction Survey
MBDA - Customer Satisfaction Survey of MBDA.gov Website Visitors
MBDA - Rank Your Recommendations: A Survey of Minority Business Development Agency Business Centers
NESDIS Web site Customer Experience Survey	None	NESDIS HQ Web site Survey
NIST - Information Resources Needs for the Standards Coordination Office Customers (World Standards Week Event)
NIST - Smart Manufacturing Survey
NIST MEP Emerging Leaders Program Data Collection	NA, NA	MEP Emerging Leaders Program Data Collection (Center Directors Survey) ,   MEP Emerging Leaders Program Data Collection (MEP Participants Survey)
NIST-Information Resources Needs for Standards Coordination Office (SCO)	None	NIST Services Questions
NOAA - "Let Spinners Sleep" Educational Products and Services Survey
NOAA - FishWatch.gov Usability Testing
NOAA - Great Lakes Beach Hazards Interviews	None	Great Lakes Beach Hazards Interviews
NOAA - Harmful Algae Website User Survey	None	NOAA - Harmful Algae Website Survey
NOAA - Harmful Algal Blooms Subscriber List Questionnaire	None	NOAA Harmful Algal Blooms Subscriber List Questionnaire
NOAA - Hawaiian Monk Seal Visitor Education Programming Focus Group	NA	Appearance Release Form
NOAA - Hurricane Forecast Products Customer Poll at National Hurricane Conference
NOAA - Local Climate Analysis Tool (LCAT) User Registration
NOAA - Needs Assessment for Training in Climate and Hazard Adaptation: Discussion Groups	None	NOAA-Needs Assessment for Training in Climate & Hazard Adaptation: Discussion Groups
NOAA - Needs Assessment for Training in Climate and Hazard Adaption
NOAA - Questionnaire on Current and Planned Use of L-Band Direct Readout Services from the Joint Polar-Orbiting Satellite Systems (JPSS)	None	Need for L-Band Service on JPSS-2 and Beyond
NOAA - Quick Response (QR) Code Enabled Nautical Chart Feedback	None	NOAA- QR Code-enabled Feedback Survey
NOAA - Satellite Conference 2013 Feedback Survey	None	NOAA Satellite Conference 2013 Feedback Survey
NOAA - Shoreline Change Workshop of 2012: Perspectives on the Great Lakes
NOAA - Stakeholder Feedback on the Selection of NOAA Candidate Habitat Focus Area(s) in California
NOAA - Storm Surge Marketing Discussion Groups
NOAA - Tropical Cyclone Impact Graphic (TCIG) Focus Groups
NOAA-Biogeographic Assessment Product Requests	None	Order Form for NOAA Biogeography Branch Product
NOAA-Customer Satisfaction Survey of NOAA Coastal Services Center Technical Assistance
NOAA-ESTC Science Workshop Program Implementation Surveys
NOAA-Fishing Around Sea Turtles" Products and Services Survey
NOAA-Hawaiian Monk Seal Public Service Announcement Focus Groups
NOAA-Lincoln Park Restoration Site Visitor Survey
NOAA-NWS GIS Data and Product Survey	NA	NWS GIS Survey
NOAA-Probabilistic Hydrologic Outlook Survey
NOAA-Students Collaborating To Undertake Tracking Efforts for Sturgeon (SCUTES) Elementary and High School Educational Kits Evaluation	None, None	SCUTES Educational Kit Evaluation ,   SCUTES Educational Kit Evaluation
NOAA-Survey for Soliciting Feedback on the NMFS Recreational Bluefin Tuna Reporting System	None	Recreational Bluefin Reporting Options Survey
NOAA-Usibility Testing of Office of Response and Restoration's Website Mobile Design
NOAA: On-line Comments Regarding the Uses of the Enhanced Magnetic Field Model
NOAA: On-line Comments Regarding the Uses of the World Magnetic Model Form
NTIA - Federal Radio Frequency Spectrum Management Course Evaluation Survey	NA	Student Evaluation Form
NTIA - Project 25 Documents and Standards Reference and Video Quality in Public Safety Tools Feedback Forms	None, None	VQiPS Tool Feedback Form ,   P25 DSR Feedback Form
NTIA-Program Offices Customer Satisfaction Survey
NTIS - National Technical Reports Library (NTRL) V3.0 Survey
Ofc of Secy - BusinessUSA Contact Center Customer Satisfaction Survey
Online Cognitive Testing of Applications Form for Free and Reduced Price Meals	Survey	School Meals Application Test
PTO - After Final Consideration Pilot 2.0 Survey	None	After Final Consideration Pilot 2.0 (AFCP 2.0) Survey Questions for External Stakeholders
PTO - Focus Group Feedback in Support of the USPTO Next Generation Initiatives	None, None	Background Information ,   Audio and Video Recording Consent Form
PTO - Global Dossier User Requirement	None, None	PTO - Global Dossier User Requirement Interview Questions ,   PTO Global Dossier User Requirement Focus Session Questions
PTO - Glossary Pilot Program External Survey	NA	PTO Glossary Pilot Prog. External Survey
PTO - Interview Stakeholder Survey	None	PTO - Interview Stakeholder Survey
PTO - Knowledge Elicitation Sessions to Support the Chinese Patent Search Initiative	None, None	SIPO Search Demographics Form ,   Audio and Video Recording Consent Form
PTO - National Trademark Expo - 2012 Participant Feedback Surveys
PTO - National Trademark Expo - 2014 Participant Feedback Surveys	none, None, None	2014 National Trademark Expo ATTENDEE Survey ,   2014 National Trademark Expo EXHIBITOR Survey ,   2014 National Trademark Expo SEMINAR Survey
PTO - Next Generation Electronic Survey Regarding Fee Processing System Access
PTO - Outreach Sessions: eFiling of America Inventions Act Trials and Proposed Future Needs	None	Volunteer Form
PTO - PETTP Presenter Experience Survey	None	PTO - PETTP Presenter Experience Survey
PTO - Public User Survey	None	PTO Public Search Facility 2014 Customer Satisfaction Survey
PTO - Request for Continued Examination Survey	None	None
PTO - Tegernese Group Patent Law Harmonization Feedback
PTO - Trademark Electronic Official Gazette Customer Satisfaction Survey	None	PTO-Trademark Electronic Official Gazette Outreach Survey
PTO - eMod Forum Denver CO Focus Session and Survey	None	PTO - eMod Forum Denver CO Focus Survey
PTO Interview Stakeholder Survey	None	PTO Interview Stakeholder Survey
PTO Outreach Sessions with Patent Applicants regarding eFiling and Proposed Future Needs
PTO Patent Prosecution Highway (PPH) Survey Questions	None	PTO Patent Prosecution Highway (PPH) Survey Questions
PTO eMod Focus Session Survey	None	PTO eMod Focus Session and Survey
PTO-AIPLA Legal Secretaries and Administrator's Conference Survey	None	PTO-AIPLA Legal Secretaries and Administrator's Conference Survey
PTO-Patent Reengineering - Applicant Feedback Word Validation Tool
PTO-Survey of Paten Applicants' Filing Software Usage and Tools	None	Survey of Patent Applicants' Filing Software Usage and Tools
PTO-Usability Testing Feedback for USPTO Next Generation Initiatives	None, None, None, None	Background Information ,   Audio and Video Recording Consent Form ,   Participant Scenario Worksheet ,   System Usability Scale
Partnership Experience Platform (PXP)
Patents End-to-End System Customer Feedback Focus Sessions
Patents End-to-End System Customer Feedback on Online Payment Process
Patents Recruitment Roadshow 2015	None	2015 Patent Recruitment Road Show Survey Questions
Pro Bono Patent Program Quarterly Metric Reporting Questionnaire	NA	Pro Bono Patent Program Quarterly Metric Reporting Quesstionnaire
Rate The Agency
Request for website usability group participants	Form	Sample Text for Usability Session
Respondent Perceptions of Burden in the American Community Survey (ACS)	Consent Form, Demo Questions	Consent Form ,   Focus Group Worksheet
Survey Monkey Images for Attorney Forms Survey	NA	Survey Monkey Images for Attorney Forms Survey
Surveying the Impact of Customers of 15 CFR 400.43	NA	Survey: Grantees' Business Models and Impact of 15 CFR 400.43
Technical Assistance (TA) Request Form	NA, NA	Technical Assistance (TA0 Request Form ,   Customer Feedback Survey
Trade Adjustment Assistance for Firms
Understanding the Barriers of Acquiring Relying Parties to NSTIC
Understanding the Barriers of Acquiring Relying Parties to NSTIC
Usability/Cognitive Testing of Privacy and Confidentiality Messages	0690-0030	Survey questions
WebEx Stakeholder Testing	None	Questions for External Beta Testers of WebEx
Weekly Behaviors Study	Study	Survey Questions
eFile Attorney Form Prototype Focus group

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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	244,710	489,420	0	0	-244,710	0
Annual Time Burden (Hours)	75,711	126,267	0	0	-50,556	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: The number of responses and burden hours were decreased (adjustment) because the feedback process was not used as estimated in previous submission.

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Annual Cost to Federal Government: $0

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: 04/30/2014

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