Certification for 2016 COOL Survey

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 0581-0269)
TITLE OF INFORMATION COLLECTION:
2016 COOL Survey
PURPOSE:
Country of Origin Labeling (COOL) requires retailers to notify their customers of the country of
origin and method of production of covered commodities. The law allows for COOL to enter
into partnership with states to conduct enforcement and assist in the administration of the
requirements. These roles include State Manager who serves as the primary contact, State
Reviewers who are trained to conduct new and follow up retail review surveillance, and Invoice
Representatives who accounts for store reviews completed for and subsequent payments owed by
the COOL Division.
COOL will conduct a survey to all State Cooperators to determine customer satisfaction with
service, communication, training, and invoicing requirements. The responses will be used to
improve services provided by COOL Division and assist in the allocation of fiscal funds to better
serve our customers. Additionally, the survey will help determine if training methods are
effective or should be improved for this current fiscal year.
DESCRIPTION OF RESPONDENTS:
Survey respondents include State Cooperators for which the COOL Division has an active
cooperative agreement. The State Cooperators consist of Managers, Reviewers and Invoice
Representatives.
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.
signed by JULIE HENDERSON
JULIE HENDERSON Digitally
Date: 2016.01.29 17:34:34 -05'00'

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

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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 [X] 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

No. of
Participation
Respondents Time
329
.5
329

State Cooperators
Totals

Burden
165
165

FEDERAL COST: The estimated annual cost to the Federal government is $0.
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?
Survey respondents include all of the State Cooperators who currently have access to our COOL
Functional Analysis for Compliance Trends System (FACTS). COOL FACTS is used to assign,
submit, and invoice retail reviews. Respondents will be contacted via email with instructions on
how to access and complete the survey using Survey Monkey hyperlink
https://www.surveymonkey.com/collect/?collector_id=80048126. They will be given 2 weeks to
complete the survey. Attached is a copy of the survey in PDF format.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain
2. Will interviewers or facilitators be used? [ ] Yes [X] No

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