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

Forms and Documents

Document Name	Status
Form 5720-3a Federal State Audit Branch Feedback Form Form and Instruction	New
FSIS Generic Clearance SuptStmt Part A-2.docx Supporting Statement A	2015-02-12
Generic Clearance Submission Template.doc Supplementary Document	2014-11-25
FSIS Generic Clearance SuptStmt Part B.docx Supporting Statement B	2014-11-25

IC Document Collections

IC ID	Document Title	Status
230139	Foodborne Illness Outbreak Investigation Survey Other-survey	New
228224	Enhancing Foodborne Illness Information for Healthcare Providers Other-for webinar	New
226547	REQUEST FOR FEEDBACK FROM STUDENT VETERINARIANS ON RECRUITMENT INCENTIVE PROGRAMS Other-survey	New
226385	Enhancing Foodborne Illness Information for Healthcare Providers Other-focus group questions	New
225577	Voluntary Customer Feedback Survey: Foodborne Illness Outbreak Investigation Other-OPHS Voluntary Customer Feedback Survey	New
225180	Federal State Audit Branch Feedback Form Form and Instruction	New

ICR Details

OMB Control No: 0583-0151	ICR Reference No: 201411-0583-002
Status: Historical Active	Previous ICR Reference No: 201105-0583-001
Agency/Subagency: USDA/FSIS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/08/2015
	Date Received in OIRA: 03/09/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved
Responses	10,000	0	0
Time Burden (Hours)	10,000	0	0
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. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): EO: EO 1862 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 55745	09/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 12425	03/09/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Foodborne Illness Outbreak Investigation Survey
Enhancing Foodborne Illness Information for Healthcare Providers
REQUEST FOR FEEDBACK FROM STUDENT VETERINARIANS ON RECRUITMENT INCENTIVE PROGRAMS
Federal State Audit Branch Feedback Form	5720-3a	Federal State Audit Branch (FSAB) Voluntary Feedback Form
Voluntary Customer Feedback Survey: Foodborne Illness Outbreak Investigation
Enhancing Foodborne Illness Information for Healthcare Providers

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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	10,000	0	0	10,000	0	0
Annual Time Burden (Hours)	10,000	0	0	10,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: FSIS previously had approval from OMB for this information collection. The approval was for 27,000 burden hours; however, the Agency only used a total of 4,729 hours to conduct qualitative surveys and food safety education research. We are asking OMB to approve reinstatement of this collection with a reduced burden estimate for similar upcoming activities.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 03/09/2015

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