OMB Control No. 1910-5160
Expiration 8/31/2017
Attachment A – “Rate the Agency” Survey
Pre-Award & Debriefing Satisfaction Survey
Your firm submitted an offer for Solicitation No. _____ from procurement office ___________.
Please provide us with your feedback on the acquisition process. Your answers will help us assess our performance and identify our strengths and weaknesses. The survey should take no more than 10 minutes to complete. The survey will be issued after any and all debriefings have been conducted and therefore cannot impact the award decision in any way. The results from the survey will not be published or made publicly available.
Please submit your response within the next thirty days to: [insert agency contact information here].
Please rate your level of satisfaction on a scale of 1 to 5, with 5 being “Very Satisfied” and 1 being “Very Dissatisfied”
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Very Satisfied |
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Very Dissatisfied |
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Requirements Development Process - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
Solicitation Phase - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
Award Execution and Debriefings- How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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Yes |
No |
[Insert agency PRA notice here.]
Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to improve how the Department of Energy (DOE) receives and uses industry and internal feedback to strengthen our acquisition function. The data you supply will be used assess and improve the DOE acquisition process.
Public reporting burden for this collection of information is estimated to average five minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records & Privacy Management Division, IM-23, Paperwork Reduction Project (enter OMB control number), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (enter OMB control number), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.
Submission of this data is voluntary.
OMB Control No. 1910-5160
Expiration 8/31/2017
Attachment B – Evaluation of the Contracting Operation
As you recently worked with the _______ procurement office on solicitation #____________ in making an award, please evaluate your experience.
Please rate your level of satisfaction on a scale of 1 to 5, with 5 being “Very Satisfied” and 1 being “Very Dissatisfied”
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Very Satisfied |
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Very Dissatisfied |
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||
Planning - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
Communication - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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Yes |
No |
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Reminder: After one year, or completion of performance, work with your Contracting Officer (CO) to evaluate the contract awardee’s performance in CPARS |
Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to improve how the Department of Energy (DOE) receives and uses industry and internal feedback to strengthen our acquisition function. The data you supply will be used assess and improve the DOE acquisition process.
Public reporting burden for this collection of information is estimated to average five minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records & Privacy Management Division, IM-23, Paperwork Reduction Project (enter OMB control number), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (enter OMB control number), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.
Submission of this data is voluntary.
OMB Control No. 1910-5160
Expiration 8/31/2017
Attachment C – Evaluation of the Program Office’s Participation in the Procurement
As you recently worked with ________ program office on solicitation #____________, please evaluate your experience.
Please rate your level of satisfaction on a scale of 1 to 5, with 5 being “Very Satisfied” and 1 being “Very Dissatisfied”
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Very Satisfied |
|
Very Dissatisfied |
N/A |
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Planning - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
|
5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
Communication - How satisfied were you: |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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5 |
4 |
3 |
2 |
1 |
N/A |
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Reminder: After one year, or completion of performance, work with your Contracting Officer’s Representative (COR) to evaluate the contract awardee’s performance in CPARS. |
For awards made using Government-wide Acquisition Contracts (GWACs) or GSA Schedules |
Very Satisfied |
|
Very Dissatisfied |
N/A |
||
|
5 |
4 |
3 |
2 |
1 |
N/A |
|
|
Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to improve how the Department of Energy (DOE) receives and uses industry and internal feedback to strengthen our acquisition function. The data you supply will be used assess and improve the DOE acquisition process.
Public reporting burden for this collection of information is estimated to average five minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records & Privacy Management Division, IM-23, Paperwork Reduction Project (enter OMB control number), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (enter OMB control number), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.
Submission of this data is voluntary.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Glock, Porter |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |