DOI Programmatic Clearance for Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1040-0001 30 Day FRN - FINAL.pdf	Supplementary Document	Uploaded 2015-06-26	Available
SS-B_1040-0001_2015.docx	Supporting Statement B	Uploaded 2015-06-19	Available
SS-A_1040-0001_2015.docx	Supporting Statement A	Uploaded 2015-06-19	Available
Guidelines for Submission--2015.docx	Supplementary Document	Uploaded 2015-06-17	Available
Justification Form-2015-for a Survey under 1040-0001.docx	Supplementary Document	Uploaded 2015-06-17	Available
1040-0001 60 Day Notice.pdf	Supplementary Document	Uploaded 2015-03-18	Available
Executive_Order_13571.pdf	Supplementary Document	Uploaded 2012-03-24	Available
EO-12862.pdf	Supplementary Document	Uploaded 2008-03-27	Available
GPRA_PL103-62_03AUG93.pdf	Supplementary Document	Uploaded 2008-03-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
230777	Road Maintenance Improvement Project	Other-Survey Tool	New
229059	Improving the Partners for Fish and Wildlife Program to Ensure Longevity of Voluntary Conservation Efforts	Other-Survey	New
220180	Parent Survey-Special Education	Other-Survey	New
217086	BLM Arcata Field Office Visitor Satisfaction Survey	Other-survey	New
217075	USGS Colorado Plateau Conference Satisfaction Survey	Other-survey	New
217072	BLM Visitor Satisfaction Survey	Other-survey	New

ICR Details

OMB Control No: 1040-0001	ICR Reference No: 201503-1040-001
Status: Historical Active	Previous ICR Reference No: 201203-1040-002
Agency/Subagency: DOI/OPPM	Agency Tracking No:
Title: DOI Programmatic Clearance for Customer Satisfaction Surveys
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/04/2015
	Date Received in OIRA: 06/26/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	360,000	0	360,000
Time Burden (Hours)	54,000	0	54,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The programmatic clearance enables Interior bureaus and offices to conduct customer research through external surveys such as questionnaires and comment cards to improve the services and products DOI provides to the public.

---

Authorizing Statute(s): PL: Pub.L. 103 - 62 1-11 Name of Law: Government Performance and Results Act of 1993
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   EO: EO 13571 Name/Subject of EO: Streamling Service Delivery and Improving Customer Service
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 14148	03/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 36842	06/26/2015
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
USGS Colorado Plateau Conference Satisfaction Survey
Parent Survey-Special Education
Improving the Partners for Fish and Wildlife Program to Ensure Longevity of Voluntary Conservation Efforts
Road Maintenance Improvement Project
BLM Visitor Satisfaction Survey
BLM Arcata Field Office Visitor Satisfaction Survey

---

ICR Summary of Burden

table that charts list 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	360,000	360,000	0	0	0	0
Annual Time Burden (Hours)	54,000	54,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $2,625,480

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

Common Form ICR:  No

---

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: 06/26/2015

---