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

Forms and Documents

Document Name	Status
Form SBLF Form SBLF Lending Survey Form	New
1505-0231_supporting_statement_2014.docx Supporting Statement A	2014-04-22
Generic Clearance Submission Template.doc Supplementary Document	2011-04-15
Draft Generic Clearance Submission Template.docx Supplementary Document	2011-03-28
Supporting Statement (Part B).docx Supporting Statement B	2011-03-28

IC Document Collections

IC ID	Document Title	Status
224973	Information Collections to Develop Educational- and Outreach-Related Messaging for Volunteer Income Tax Assistance (VITA) Tax Preparation Staff, Volunteers, and Clients Other-Interview Protocol - Site Leaders & Exec Directors	New
224810	BEP 2016 Chemistry Week Visitor Survey Other-Survey	New
222308	Acquisition 360 Survey 2016 Other-survey	New
221857	Treasury.gov Customer Satisfaction Survey Other-survey	New
219195	Financial Inclusion Forum Survey Other-Survey	New
218305	SBLF Lending Survey Form	New
215874	Acquisition 360 Survey Other-Survey	New
214277	BEP Currency Reader Program Other-Survey	New
213195	Voice of the Customer Survey Other-Survey	New
209646	MHA Public Service Advertising (PSA) Campaign Refresh Other-Moderator's Guide	Removed
208693	Making Homes Affordable (MHA) Attitude Survey Other-Survey	Removed
199203	Usability Testing for Treasury.gov Other-Web Tester	Removed
198761	Specially Designated Nationals (SDN) Survey Instruction	Removed

ICR Details

OMB Control No: 1505-0231	ICR Reference No: 201403-1505-003
Status: Historical Active	Previous ICR Reference No: 201103-1505-001
Agency/Subagency: TREAS/DO	Agency Tracking No: BS
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: 07/17/2014
	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.¿

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	40,000	0	40,000
Time Burden (Hours)	40,000	0	40,000
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:
	79 FR 3266	01/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 24063	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: 9

IC Title	Form No.	Form Name
BEP 2016 Chemistry Week Visitor Survey
BEP Currency Reader Program
SBLF Lending Survey	SBLF Form	SBLF Form
Voice of the Customer Survey
Acquisition 360 Survey 2016
Treasury.gov Customer Satisfaction Survey
Acquisition 360 Survey
MHA Public Service Advertising (PSA) Campaign Refresh
Information Collections to Develop Educational- and Outreach-Related Messaging for Volunteer Income Tax Assistance (VITA) Tax Preparation Staff, Volunteers, and Clients
Making Homes Affordable (MHA) Attitude Survey
Financial Inclusion Forum Survey
Usability Testing for Treasury.gov
Specially Designated Nationals (SDN) 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	40,000	40,000	0	0	0	0
Annual Time Burden (Hours)	40,000	40,000	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: This is a new collection.

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Annual Cost to Federal Government:

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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