Fast-Track Template SE, SSA, and CU League Survey

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 3133-0188)
TITLE OF INFORMATION COLLECTION: SE, SSA, and CU League Survey
PURPOSE:
This survey is designed to solicit feedback from NCUA’s supervisory examiners, state
supervisory agencies, and credit union leagues regarding ways NCUA’s OSCUI can more
actively engage with them. The survey collects information about the respondents, finds out what
they know about OSCUI and how they rate the services it provides, and request input on ways to
provide them information to serve small, low-income, minority depository institutions, and
newly chartered credit unions.
The survey will be available online. The respondents are sent a link via email to complete the
survey using survey monkey.
DESCRIPTION OF RESPONDENTS:
The target respondents are NCUA Supervisory Examiners, State Supervisory Agency (point of
contacts) responsible for small, low-income, minority depository institutions, and newly
chartered credit unions outreach efforts, and Credit Union League (point of contacts) responsible
for small, low-income, minority depository institutions, and newly chartered credit unions
outreach efforts.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[ X] Customer Satisfaction Survey
[ ] Small Discussion Group
[ ] Other:

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:

Digitally signed by Dawn Wolfgang
DN: cn=Dawn Wolfgang, o=NCUA, ou=OCIO,
[email protected], c=US
Date: 2017.05.11 13:39:04 -04'00'

Dawn Wolfgang
____________________________________

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To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [ ] Yes [ X] No
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3. If Yes, has an up-to-date System of Records Notice (SORN) 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
Participation
Respondents Time
73
15 mins/0.25

Federal Government – NCUA Supervisory
Examiners
State, local, or tribal governments – State Supervisory 46
Agencies
Private Sector – Credit Union Leagues
37
Totals

Burden
18.25

0.25

11.50

0.25

9.25

83

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FEDERAL COST: The estimated annual cost to the Federal government is $3,500
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?
NCUA maintains lists and contact information of its Supervisory Examiners, each State
Supervisory Agency, and each Credit Union League. The survey will be sent to all NCUA
Supervisory Examiners, State Supervisory Agencies, and Credit Union Leagues, no sampling
plan will be employed.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[ X ] Web-based or other forms of Social Media
[ ] Telephone
[ ] Mail
[ ] In-person
[ ] Other, Explain
2. Will interviewers or facilitators be used? [ ] Yes [ X ] No
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