Request for Approval

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

(OMB Control Number: 1090-0011)

TITLE OF INFORMATION COLLECTION: Double-crested Cormorant Information Sharing Interviews

PURPOSE: This telephone survey will be conducted to collect information from stakeholders (Tribal, State, and Federal Agency personnel only) about their viewpoints regarding the relationship between double-crested cormorant (Phalacrocorax auritus) and free-swimming fish to inform nationwide cormorant management decisions. The survey will consist of interviews with stakeholders planning to attend planned regional meetings in August of 2018. The information gained from this survey will be used to focus the meeting agenda and assign personnel to group discussions with stakeholders.

DESCRIPTION OF RESPONDENTS: Personnel from federally recognized tribes, state wildlife agencies, state fisheries agencies, USDA APHIS-Wildlife Services, and other participating federal agencies.

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: Workshop Participation 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: Kenneth Richkus, Deputy Chief, Div. of Migratory Bird Management, 703-358-1780

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

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time (Hour)	Burden (Hours)
State agency personnel and Tribal representatives	15	1	15
Federal agency personnel (Burden not in ROCIS, included as an FYI only)	5	10 min	5

FEDERAL COST: The estimated annual cost to the Federal government is $4,370. This cost includes salary and benefits to evaluate the results and adjust the conference agenda, as well as the contractor costs to conduct the survey.

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.

The sampling list will be the list of attendees of the meeting representing state and federal agencies and representatives from federally recognized tribes. All attendees will be contacted and asked to complete the survey. A tentative list will be provided upon request. We will interview approximately 20 personnel from the sampling list.

Administration of the Instrument

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

[ ] Web-based or other forms of Social Media

[X] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

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

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

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