Request for approval: Acquisition 360 survey generic IC

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 1505-0231)
TITLE OF INFORMATION COLLECTION: Acquisition 360 – Improving Acquisition
Process Through Timely Feedback from External Stakeholders
PURPOSE:
To ensure that agencies can continually consider and improve their performance in early vendor
engagement efforts and internal acquisition practices, via a robust, timely, and specific feedback
mechanism from key stakeholders Treasury will be using various tools and methods to reach
these key stakeholders. The results will be used to strengthen its acquisition function from preaward activities up to, and including, contract award and debriefings. This effort is not intended
to be used to rate individual vendors, contracting officers, program managers, or integrated
project teams (IPTs), or to compare procuring offices generally, as the complexity of
procurements varies greatly among agencies, and unexpected challenges can arise. However,
these tools and methods are meant to help Treasury identify strengths and weaknesses with
industry and internal acquisition practices so as to make internal improvements on the
acquisition planning and executing contracts.
DESCRIPTION OF RESPONDENTS:
All vendors who submit proposals or quotations to the Department of the Treasury.

TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[] Focus Group

[X] Customer Satisfaction Survey
[ ] Small Discussion 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:_Iris B. Cooper, Senior Procurement Executive, Department of the
Treasury___________________________
Digitally signed by Iris B. Cooper

Iris B.
Cooper

DN: c=US, o=U.S. Government,
ou=Department of the Treasury,
ou=Departmental Offices, ou=People,
serialNumber=724855, cn=Iris B. Cooper
Date: 2016.06.16 10:34:39 -04'00'

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To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [ ] Yes [X] No
2. If Yes, is the information that will be collected included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No
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

Burden

Vendors

No. of
Participation
Respondents Time
120
10 minutes

Totals

120

20 hrs

20 hrs

FEDERAL COST: The estimated annual cost to the Federal government is ____________
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)? 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?
For the purpose of the Acquisition 360 – 2nd Phase, Treasury’s plan for identifying the potential
group of respondents is to obtain a list of Treasury awards from FPDS. A random sample will be
generated from this list, based on any criteria that may be established as part of the sampling
plan, in order to identify the awards to be surveyed. Bureaus will then be requested to identify
the vendor point of contact identified by the offeror who responded to the solicitation along with
the contact information for the program official and contracting officer who supported the
acquisition as well. The voluntary survey will be sent to those individuals.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media

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[ ] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain
2. Will interviewers or facilitators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

Instructions for completing Request for Approval under the “Generic
Clearance for the Collection of Routine Customer Feedback”
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the
subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used.
If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or
groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other
instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the
collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide
a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the
following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal
governments; or (4) Federal Government. Only one type of respondent can be selected.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to
participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the
participation time and divide by 60.
FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions:

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The selection of your targeted respondents. Please provide a description of how you plan to
identify your potential group of respondents and how you will select them. If the answer is yes,
to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than
one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or
facilitators (e.g., for focus groups) used.
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

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