Fast Track Generic Clearance Request

Fast_Track_Clearance_Request_-_Youth_Ladders_Initiative_6.1.2015bh[1].doc

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

Fast Track Generic Clearance Request

OMB: 2127-0682

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2127-0682

TLine 3 ITLE OF INFORMATION COLLECTION:


Transportation Ladders of Opportunity Youth Initiative: The Future Workforce


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


PURPOSE: This summer, Secretary Anthony R. Foxx will issue a call to action to transportation professionals across the country, encouraging them to introduce at least one young person to a career in transportation through mentoring, summer jobs, internships and/or career exploration. The call to action, which will be issued electronically, will prompt transportation professionals to provide information on the types of activities they or their organization are offering/will offer students interested in working in transportation.


DESCRIPTION OF RESPONDENTS: Respondents will be transportation professionals who can meaningfully engage any number of young people interested in transportation work or career pathways.


TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [X] Other: Web-based information tool


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.


Your Name: Reginald Greer


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


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [X] Yes [ ] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [X] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [X] 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


No. of Respondents

No. of Responses per Respondent

Average Burden per Response (hours)

Total Burden Hours

200

1

5 minutes

17 hours





TOTAL

17 hours



FEDERAL COST: $3,600 (based on 5% of salary for one FTE)


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?


Transportation professionals who regularly receive the Secretary’s blog post will be voluntarily responding to his call to action.


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

  1. Will interviewers or facilitators be used? [ ] Yes [X] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.


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