Request for Approval

1090-0011 Submission Form ACRCC Partners Survey 06052017.docx.docx

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

Request for Approval

OMB: 1090-0011

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Request for Approval under the “DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery”

OMB Control Number: 1090-0011


Shape1 TITLE OF INFORMATION COLLECTION:


ACRCC Partner Assessment of asiancarp.us


PURPOSE:


The Asian Carp Regional Coordinating Committee (ACRCC) is beginning the process of updating its website (asiancarp.us) to provide better experiences for site visitors. FWS is a partner of the ACRCC and FWS Midwest Regional Office is responsible for the upkeep of the website. The information collected from this survey will be used to dictate changes to the design and content of the site. It will provide insight into desired audiences, messaging, and navigation priorities ACRCC partners have for the updated website.


DESCRIPTION OF RESPONDENTS:

Respondents will be individuals from the partner organizations that make up the ACRCC.


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: Survey


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.



Name: Monica Blaser, Public Affairs Specialist - Midwest Regional Office




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


Personally Identifiable Information:

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

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

  3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [x] No (If yes, please explain.)


BURDEN HOURS

Category of Respondents

No. of Respondents

Participation Time

Burden

Individuals (ACRCC partners)

124

15 minutes

31 hours

Totals

124

15 minutes

31 hours


FEDERAL COST: The estimated annual cost to the Federal government to administer this information collection is $248.00. 124 surveys x $2.00 (the weighted average from below)


Position

Hourly pay

Hourly pay including benefits

Time spent on collection

Weighted average*

Number of positions

Total Cost per survey

Public Affairs Specialist

GS-09/01

$25.43

$39.93

10 hours (5%)

$2.00

1

$2.00

*Rounded


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


The universe of respondents will come directly from the roster of the ACRCC Communications Work Group which is made up communication representatives from ACRCC partner agencies and organizations. The sample of respondents will consist of the entire universe of potential respondents as every individual from the roster will be invited to complete the survey.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ ] Web-based or other forms of Social Media [ ] Telephone

[ ] In-person [ ] Mail

[x] Other: Survey distribution via email/Collection platform SurveyMonkey


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

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