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

Forms and Documents

Document Name	Status
The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations Form	New
Suggestions for Climate Change Response Program Toolkit Form and Instruction	New
1090-0011 30 Day FRN - 2015.pdf Supplementary Document	2015-06-29
SS-A for DOI Generic Clearance-2015.docx Supporting Statement A	2015-06-23
DOI Generic Clearance Submission Template-2015.docx Supplementary Document	2015-06-22
SS-B for DOI Generic Clearance-2015.docx Supporting Statement B	2015-06-22
1090-0011 60 Day FRN 2015.pdf Supplementary Document	2015-03-18
Executive_Order_13571.pdf Supplementary Document	2012-03-22
Executive_Order_12862.pdf Supplementary Document	2012-03-22

IC Document Collections

IC ID	Document Title	Status
232607	Information Submission Website: Double-crested Cormorant and Free-Swimming Fish Data, Reports, and Comments Other-Web Form	New
232186	Pacific Northwest Aquatic Monitoring Program (PNAMP) Other-Webpage	New
232061	Double-crested Cormorant Information Sharing Interviews Other-Workshop Participation Survey	New
232003	Assessment of Store Owners/Managers Interest and Awareness Regarding Aquatic Invasive Species in Alaska Other-Questionnaire	New
231989	National Cache Medial Supply Kit Assessment Other-Review Web Pages	New
231928	Usability Testing of Online Migratory Bird Harvest Survey Trial Deployment Other-Online Survey	New
231691	New England Water Science Center Network Prioritization Other-Google Form	New
231384	Fuel Geyser Incident Reporting Form Other-Web Form	New
231338	National Park Service Office of Heritage Partnerships Program Customer Satisfaction Survey Other-Customer Satisfaction Questionnaire	New
231194	John Heinz National Wildlife Refuge – Transportation Feedback Form Other-Survey	New
231164	Neal Smith National Wildlife Refuge - Public Program Feedback Form Other-Survey	New
231163	Neal Smith National Wildlife Refuge - Environmental Education Feedback Form Other-Survey	New
231162	National Science Foundation Ice Core Facility Tour Survey Form Other-Survey	New
231161	Neal Smith National Wildlife Refuge - Visitor Center Feedback Form Other-Survey	New
231068	Wildlife and Sport Fish Restoration Programs Communications Phone Interview Other-Telephone Survey	New
230984	National Park Service Internship Program Qualitative Assessment Other-Survey	New
230922	Survey of business travelers between US and China as part of the U.S. Fish and Wildlife Service demand reduction efforts. Other-Survey Card	New
230694	Web comment form for soliciting feedback on the Firefighter Type 2 (FFT2) Incident Position Description (IPD). Other-Web Survey Tool	New
230692	Web comment form for soliciting feedback on the Seat Manager (SEMG) Incident Position Description (IPD). Other-Web Survey Tool	New
230691	Web comment form for soliciting feedback on the Incident Commander Type 4 (ICT4) Incident Position Description (IPD). Other-Web Survey Tool	New
230690	Web comment form for soliciting feedback on the Single Engine Air Tanker Manager (SEMG) Incident Position Description (IPD). Other-Web Survey Tool	New
230688	Web comment form for soliciting feedback on wildland fire position information. Other-Web Survey Tool	New
230234	Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using Focus Groups Other-Focus Group Script	New
230230	Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using On-site Surveys Other-Questionnaire	New
229921	Eastern Massachusetts National Wildlife Refuge Complex Hunter Survey Other-Online Survey	New
229424	Evaluation of NCCSC and SCCSC Co-Produced Science Other-Satisfaction Survey	New
229378	American Ginseng Biology Working Group - Questionnaire Other-Questionnaire	New
229377	Falconry Database Usability Testing Other-Usability Test	New
229291	Hawksbill Sea Turtle Demand Reduction Campaign in the Dominican Republic (as part of JetBlue – USFWS Partnership) Other-Interviews	New
228990	American Ginseng Outreach Questionnaire and Materials Inventory Instruction	New
228739	Usability Study Survey – Great Lakes Coastal Wetland Web-tools Other-Survey	New
228738	Usability Study Focus Group – Great Lakes Coastal Wetland Web-tools Other-Focus Group Document	New
228481	FWS.Gov Website Redesign: Navigation Model Testing Other-Remote Usability Study	New
228263	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228262	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228261	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228260	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228259	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228257	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228251	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Questionnaire	New
228237	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Questionnaire	New
228231	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Questionnaire	New
228230	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR) Other-Survey	New
228219	Ecosystems Program Stakeholder Satisfaction Survey Other-Survey	New
227947	North Central Climate Science Center Quality of Service Survey Other-Electronic Customer Needs Survey	New
227888	Data Rescue and Preservation Workshop – Post Survey Other-Survey	New
227729	Assessment of USGS Science for Next-Generation Infrastructure Needs Other-Survey	New
227728	Arid Lands Initiative Community Forum Questionnaire Other-Questionnaire	New
227588	Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs Other-Customer Experience Survey	New
227131	Pre- and Post-Assessment of Alaska's Urban Youth and their Experiences with Fishing Other-Survey instrument	New
227130	ACRCC Partner Assessment of asiancarp.us Other-Survey Tool	New
226873	Landscape Conservation Cooperatives Performance Evaluation Other-Online Survey	New
226872	NHDPlus High Resolution QC Interest Form Other-Quality of Service Survey	New
226512	BIA TCRP Program Other-Feedback Tool	New
226403	Workshop Survey – "BSEE International Standards Workshop" Other-Survey	New
226234	Science, Technology, Engineering, Mathematics (STEM) Survey Other-customer comment card	New
226156	Bureau of Land Management - Wild Horse and Burro Program Customer Comment Card Other-comment card	New
225982	Emperor Goose Spring Subsistence Harvest Survey Other-Survey & Information	New
225750	Artificial Night Lighting – request for published literature or proven best practices for minimizing environmental Impacts associated with artificial night lighting. Instruction	New
225576	Web-Based Survey with FWS Partners for Updating Migratory Bird Program's Strategic Plan Other-Web Based Survey Tool	New
225573	Partner Assessments for the Urban Wildlife Conservation Program and Urban Bird treaty Cities Other-Survey Instrument	New
224677	Listening Sessions with FWS Partners for updating Migratory Bird Program's Strategic Plan Other-questionnaire	New
224295	Rescue and Preservation of GeoscientificData and Materials Workshop Other-Survey	New
223929	FWS.Gov Redesign: Discovery & Requirements Gathering Other-Study questionnaire	New
223815	Telephone Survey of Black Vulture – Livestock South Carolina Roundtable Participants Other-Interview Questions	New
223514	Hands-on Salvage Training Program Survey Other-Survey Instrument	New
223258	Formative evaluation of proposed exhibits at the Valley Forge National Historical Park Visitor Center Other-Interview Script	New
223085	Acquisition 360 Survey-2nd Iteration Other-Survey	New
222382	Telephone Survey of Black Vulture – Livestock Interaction Meeting Participants Other-Survey Questions	New
222059	Formative Evaluation of Exhibits for Kenai Fjords National Park Visitor Center Other-Survey/Interview	New
221253	Tribal Energy Development Capacity (TEDC) Grant Program Survey Other-Survey	New
221091	Art For The Parks Program Evaluation Other-Survey	New
221046	USGS Science Application for Risk Reduction Workshop Feedback Other-Survey	New
220831	Formative evaluation of exhibits for Governors Island National Monument/Fort Jay Other-Justification and Collection Instrument	New
220778	Land Buy-Back Program Landowner Participation Survey Other-Survey	New
220195	Feedback Survey for BOEM 2017-2022 Oil and Gas Leasing Program Draft Environmental Impact Statement Public Meetings Other-Survey	New
219348	Office of Public Health Online Customer Satisfaction Survey Other-Survey Instrument	New
219211	The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations Form	New
219179	Non-Federal Landsat User Requirements Other-Survey	New
219103	Suggestions for Climate Change Response Program Toolkit Form and Instruction	New
218975	Piping Plover Shorebird Communications Needs Survey Other-Survey	New
218187	OST Beneficiary Satisfaction Survey Other-Survey	New
218182	BIA Dataset Survey Other-Survey	New
217139	USGS Landsat Elicitation Other-elicitation	New
217138	NPS Pre-award phase satisfaction survey Other-initial contact email	New
217137	Focus groups as part of the initiative to Understand and Connect Americans and Nature Other-focus group topic guide	New
217136	Focus groups to evaluate landowner preferences for Farm Bill Conservation Program service Other-focus group script	New
217119	BSEE Domestic and International Standards Workshop Survey Other-survey	New
217118	Feedback from USGS Phone Customers Other-phone feedback	New
217117	USGS-- Feedback from Web Chat Customers Other-survey	New
217115	Feedback from USGS Email Customers Other-two question survey	New
217104	BLM Information Access Center (IAC) Customer Comment Card Other-customer comment card	New

ICR Details

OMB Control No: 1090-0011	ICR Reference No: 201503-1090-001
Status: Historical Active	Previous ICR Reference No: 201203-1090-001
Agency/Subagency: DOI/ASPMB	Agency Tracking No:
Title: DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
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: 06/29/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	52,500	0	483,000
Time Burden (Hours)	11,850	0	87,000
Cost Burden (Dollars)	0	0	0

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Abstract: In order to work continuously to ensure that our programs are effective and meet our customers' needs, the Department of the Interior seeks to obtain OMB approval of a generic clearance to collect qualitative feedback on our service delivery. By qualitative feedback we mean information that provides useful insights on perceptions and opinions, but are not statistical surveys that yield quantitative results that can be generalized to the population of study.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
  

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:
	80 FR 14158	03/18/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 37010	06/29/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 92

IC Title	Form No.	Form Name
Neal Smith National Wildlife Refuge - Public Program Feedback Form
Information Submission Website: Double-crested Cormorant and Free-Swimming Fish Data, Reports, and Comments
NPS Pre-award phase satisfaction survey
Feedback from USGS Email Customers
Formative Evaluation of Exhibits for Kenai Fjords National Park Visitor Center
Tribal Energy Development Capacity (TEDC) Grant Program Survey
Artificial Night Lighting – request for published literature or proven best practices for minimizing environmental Impacts associated with artificial night lighting.
Bureau of Land Management - Wild Horse and Burro Program Customer Comment Card
Data Rescue and Preservation Workshop – Post Survey
National Cache Medial Supply Kit Assessment
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using Focus Groups
Web comment form for soliciting feedback on the Incident Commander Type 4 (ICT4) Incident Position Description (IPD).
New England Water Science Center Network Prioritization
BIA Dataset Survey
The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations	N/A, N/A	Participant Survey ,   Supervisor Survey
Hands-on Salvage Training Program Survey
BIA TCRP Program
Pre- and Post-Assessment of Alaska's Urban Youth and their Experiences with Fishing
Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs
Ecosystems Program Stakeholder Satisfaction Survey
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
FWS.Gov Website Redesign: Navigation Model Testing
Hawksbill Sea Turtle Demand Reduction Campaign in the Dominican Republic (as part of JetBlue – USFWS Partnership)
Neal Smith National Wildlife Refuge - Visitor Center Feedback Form
John Heinz National Wildlife Refuge – Transportation Feedback Form
Feedback from USGS Phone Customers
Non-Federal Landsat User Requirements
USGS Science Application for Risk Reduction Workshop Feedback
Landscape Conservation Cooperatives Performance Evaluation
Falconry Database Usability Testing
American Ginseng Biology Working Group - Questionnaire
Web comment form for soliciting feedback on the Single Engine Air Tanker Manager (SEMG) Incident Position Description (IPD).
Formative Evaluation of Interpretive Design and Restoration for the Carter G. Woodson Home using On-site Surveys
Evaluation of NCCSC and SCCSC Co-Produced Science
Survey of business travelers between US and China as part of the U.S. Fish and Wildlife Service demand reduction efforts.
National Park Service Internship Program Qualitative Assessment
Pacific Northwest Aquatic Monitoring Program (PNAMP)
Focus groups as part of the initiative to Understand and Connect Americans and Nature
Piping Plover Shorebird Communications Needs Survey
BSEE Domestic and International Standards Workshop Survey
Telephone Survey of Black Vulture – Livestock South Carolina Roundtable Participants
Suggestions for Climate Change Response Program Toolkit	None	None
Web-Based Survey with FWS Partners for Updating Migratory Bird Program's Strategic Plan
NHDPlus High Resolution QC Interest Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Eastern Massachusetts National Wildlife Refuge Complex Hunter Survey
Fuel Geyser Incident Reporting Form
Wildlife and Sport Fish Restoration Programs Communications Phone Interview
Neal Smith National Wildlife Refuge - Environmental Education Feedback Form
Usability Testing of Online Migratory Bird Harvest Survey Trial Deployment
BLM Information Access Center (IAC) Customer Comment Card
USGS-- Feedback from Web Chat Customers
Office of Public Health Online Customer Satisfaction Survey
Telephone Survey of Black Vulture – Livestock Interaction Meeting Participants
Acquisition 360 Survey-2nd Iteration
Arid Lands Initiative Community Forum Questionnaire
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Usability Study Focus Group – Great Lakes Coastal Wetland Web-tools
Usability Study Survey – Great Lakes Coastal Wetland Web-tools
National Park Service Office of Heritage Partnerships Program Customer Satisfaction Survey
Double-crested Cormorant Information Sharing Interviews
USGS Landsat Elicitation
Partner Assessments for the Urban Wildlife Conservation Program and Urban Bird treaty Cities
Emperor Goose Spring Subsistence Harvest Survey
Rescue and Preservation of GeoscientificData and Materials Workshop
Listening Sessions with FWS Partners for updating Migratory Bird Program's Strategic Plan
Science, Technology, Engineering, Mathematics (STEM) Survey
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Web comment form for soliciting feedback on the Seat Manager (SEMG) Incident Position Description (IPD).
Web comment form for soliciting feedback on the Firefighter Type 2 (FFT2) Incident Position Description (IPD).
National Science Foundation Ice Core Facility Tour Survey Form
Assessment of Store Owners/Managers Interest and Awareness Regarding Aquatic Invasive Species in Alaska
Focus groups to evaluate landowner preferences for Farm Bill Conservation Program service
Formative evaluation of proposed exhibits at the Valley Forge National Historical Park Visitor Center
Formative evaluation of exhibits for Governors Island National Monument/Fort Jay
Art For The Parks Program Evaluation
FWS.Gov Redesign: Discovery & Requirements Gathering
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
Web comment form for soliciting feedback on wildland fire position information.
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training by the DOI Office of Collaborative Action and Dispute Resolution (CADR)
American Ginseng Outreach Questionnaire and Materials Inventory
OST Beneficiary Satisfaction Survey
Feedback Survey for BOEM 2017-2022 Oil and Gas Leasing Program Draft Environmental Impact Statement Public Meetings
Land Buy-Back Program Landowner Participation Survey
Workshop Survey – "BSEE International Standards Workshop"
ACRCC Partner Assessment of asiancarp.us
North Central Climate Science Center Quality of Service Survey
Assessment of USGS Science for Next-Generation Infrastructure Needs

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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	52,500	483,000	0	-430,500	0	0
Annual Time Burden (Hours)	11,850	87,000	0	-75,150	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reduction in the estimated number of responses and time burden is based on the agency's activity under this approval over the past three years and its projected activity over the next three years.

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Annual Cost to Federal Government: $123,536

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

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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: 06/29/2015

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