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

Forms and Documents

Document Name	Status
Form Cust Satisfaction NASA Shared Services Center (NSSC) Customer Satisfaction Survey Form and Instruction	New
Form 4687 MSFC Form 4687 Vehicle Reuse Form 2017 Form	New
2700-0153.Supporting Statement June.5. 2015.pdf Supporting Statement A	2015-06-05
2700-0153.FRN 30-day.April 27.2015.pdf Supplementary Document	2015-06-05
2700-0153. FRN 60-day.Pub. Jan 2015..txt Supplementary Document	2015-06-05

IC Document Collections

IC ID	Document Title	Status
232200	Health and Safety Fair Customer Feedback Survey_2018 Other-Survey screenshot	New
232143	Slack Requirements Survey Other-Survey screenshot	New
231787	NASA Enterprise Service Desk (ESD) Incident Assessment Survey Other-Survey script	New
231785	HQ ITCD Expo 2018 A Day with ITCD Other-Survey screenshot	New
231688	NASA Safety Culture Survey 2018-2019 Other-Survey script	New
231637	NASA Mobile Device Management (MDM) Survey for personal and corporate devices Other-script	New
231344	NASA Shared Services Center (NSSC) Customer Satisfaction Survey Form and Instruction	New
227408	NASA Emergency Notification (ENS) Survey Following a Drill or Event Other-Survey	New
227192	NASA Enterprise Service Desk(ESD) Incident Assessment Survey Other-Custoer Survey	New
225761	MSFC Form 4687 Vehicle Reuse Form 2017 Form	New
224661	NASA Acquisition Survey 2016-2017 Other-Survey	New
224463	NASA Safety Culture Survey 2016-2017 Other-Survey	New
224196	2016 NASA Ombudsman Program User Survey Other-Survey	New
222635	NASA Technology Transfer Licensee Survey 2016 Other-Survey	New
222591	NASA Online Learning Content Assessment Other-Survey	New
220322	Challenge Activity - Team Advisor Satisfaction Survey Other-Survey	New
220286	Fast Track Short Form NASA NASA Chellenge Activity Student Feedback Survey Other-Survey	New
220259	NASA Challenge Activity - Educator Feedback Other-Survey	New
219985	My NASA DATA Website Pop-Up Satisfaction Survey for Users Other-Survey Screen Shot with Instructions	New
219935	Customer Survey LBA-ECO Data Users and Contributors Other-Survey	New
219918	My NASA DATA Website Access and Navigation Satisfaction Survey for Educators Other-Survey	New
219640	NASA Ames Research Center (ARC) Office of the Chief Scientist Electronic Library Subscription/DataBase Survey Other-Survey	New
219583	MY NASA DATA Learning Content/Satisfaction Survey Other-Survey	New
218964	NASA GRC Customer Survey for the Private Sector Other-survey	New
218897	NASA Integrated Service Mgmt (NISM) Mgmt. System Other-Survey with Instruction	New
217494	Acquisition 360 Survey. NNC141BA04B Other-Survey with Instruction	New

ICR Details

OMB Control No: 2700-0153	ICR Reference No: 201506-2700-001
Status: Historical Active	Previous ICR Reference No: 201406-2700-008
Agency/Subagency: NASA	Agency Tracking No:
Title: 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: 07/15/2015
	Date Received in OIRA: 06/05/2015
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under the generic approval, NASA must do the following: 1) Unless the Agency is using multiple modes of collection (e.g. paper forms and electronic submissions), provide a Generic Clearance Submission template for each Instrument: 2) If NASA is using multiple modes of collection (e.g. paper forms and electronic submissions), the same Generic Submission template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved	07/31/2017
Responses	10,036,200	0	18,780
Time Burden (Hours)	146,017	0	1,530
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from customers and stakeholders will be used to evaluate and improve Agency programs. This collection will enable NASA to expand opportunities to engage members of the public and stakeholders through small discussion groups and focus groups.

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Authorizing Statute(s): None

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:
	14 FR 135	01/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	15 FR 30	04/27/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 26

IC Title	Form No.	Form Name
Acquisition 360 Survey. NNC141BA04B
NASA Online Learning Content Assessment
NASA Safety Culture Survey 2016-2017
NASA Emergency Notification (ENS) Survey Following a Drill or Event
Slack Requirements Survey
NASA Integrated Service Mgmt (NISM) Mgmt. System
NASA Shared Services Center (NSSC) Customer Satisfaction Survey	Cust Satisfaction Survey	NASA Shared Services Center (NSSC) Customer Satisfaction Survey
NASA Safety Culture Survey 2018-2019
Health and Safety Fair Customer Feedback Survey_2018
My NASA DATA Website Pop-Up Satisfaction Survey for Users
My NASA DATA Website Access and Navigation Satisfaction Survey for Educators
MSFC Form 4687 Vehicle Reuse Form 2017	4687	Vehicle Reuse Form
Challenge Activity - Team Advisor Satisfaction Survey
NASA Challenge Activity - Educator Feedback
NASA Technology Transfer Licensee Survey 2016
2016 NASA Ombudsman Program User Survey
NASA Enterprise Service Desk(ESD) Incident Assessment Survey
NASA Enterprise Service Desk (ESD) Incident Assessment Survey
HQ ITCD Expo 2018 A Day with ITCD
NASA GRC Customer Survey for the Private Sector
MY NASA DATA Learning Content/Satisfaction Survey
Customer Survey LBA-ECO Data Users and Contributors
NASA Mobile Device Management (MDM) Survey for personal and corporate devices
Fast Track Short Form NASA NASA Chellenge Activity Student Feedback Survey
NASA Ames Research Center (ARC) Office of the Chief Scientist Electronic Library Subscription/DataBase Survey
NASA Acquisition Survey 2016-2017

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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	10,036,200	18,780	0	10,017,420	0	0
Annual Time Burden (Hours)	146,017	1,530	0	144,487	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: NASA is increasing opportunities to engage customers and stakeholders through small discussion groups, focus groups, and customer satisfaction surveys which results in an increase to burden hours.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 06/05/2015

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