Request for Approval

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 0923-0047)
TITLE OF INFORMATION COLLECTION: Transportation and Health Tool Website User
Satisfaction Assessment
PURPOSE: The purpose of this data collection request is to collect user feedback on the
Transportation and Health Tool (THT) website (https://www.transportation.gov/transportationhealth-tool). The THT website was jointly developed by the Centers for Disease Control and
Prevention (CDC) and US Department of Transportation (US DOT), in collaboration with the
American Public Health Association (APHA). There is growing momentum for cross-sector
collaboration between transportation and public health sectors in order to integrate health
considerations into transportation planning and decision making. The goals of the THT are to:
(1) increase awareness about the links between transportation and health, (2) foster collaboration
between transportation and public health sectors, and (3) provide data to inform healthsupportive transportation policies and project decisions at the federal, state, and local level.
The primary audiences for the THT website are transportation professionals working in state and
local governments and metropolitan planning organizations (MPOs) and public health
professionals. The website provides (a) state- and local-level data on 14 transportation and health
indicators (e.g., safety, active transportation, air quality), with standardized scores so states and
localities can assess their performance relative to other areas; (b) 25 evidence-based strategies,
interventions, and policies that can be used to help improve indicator scores; (c) background
information on indicators and scoring methodology; and (d) resources on the link between
transportation and health. State and local practitioners can use the THT website to identify
opportunities to invest in transportation infrastructure that can improve public health.
The THT website launched in October 2015. Prior to the launch of the website, usability testing
was done and feedback was obtained from five users. Since that time, the tool has been promoted
through webinars and conferences targeted to transportation and public health audiences. As part
of a cooperative agreement (OT13-1302) with CDC’s Office for State, Tribal, Local, and
Territorial Support (OSTLTS), APHA is working with a contractor (Shattuck & Associates, Inc.)
to evaluate the THT website. The objective of this project is to assess users’ satisfaction and
experiences with the THT website in order to learn how the website is being used, what users
like and don’t like about the website, and how the website could be improved.
Two data collection methods will be used: (1) on-line user satisfaction survey of webinar
registrants using SurveyMonkey and (2) telephone interviews with previous website usability
testers. No incentives will be provided and participants will not be reimbursed for their time. The
contractor will generate a report summarizing the findings from the online surveys and telephone
interviews. The summary report is for internal use only and will be used to increase the
usefulness of the THT website and ultimately improve user satisfaction. The information
obtained from the survey and interviews is not intended to contribute to generalizable knowledge
and there are no plans to publish the findings.

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DESCRIPTION OF RESPONDENTS:
Table 1 presents an overview of the activities proposed for this ICR.
On-line user satisfaction survey: All potential respondents will be sent a recruitment email
(Attachment 1) with a link to the on-line survey. The on-line survey (Attachment 2) will be
offered to all webinar registrants (n=1,758) who registered for one of the two webinars hosted by
USDOT and APHA for the purpose of introducing the THT website to potential users.
Respondents will participate in a 5–10 minute on-line survey about their satisfaction and
experiences with the THT website. We expect approximately 440 respondents [25 percent
response rate (25/100*1,758 = 440)] to complete the survey. Respondents to the information
collection are comprised of individuals who work in a variety of different settings: local, state, or
tribal government (37%), public sector (50%), federal government (5%), and other (9%).
Participation will be completely voluntary. No personally identifiable information will be
collected. The survey will be administered via SurveyMonkey (Attachment 3).
Telephone interview of previous usability testers: All potential respondents will be sent a
recruitment email (Attachment 4) and asked to participate in an approximately 60 minute
follow-up telephone interview to provide additional, in-depth feedback on how the THT website
can be improved. The qualitative telephone interviews (Attachment 5) will be offered to all
usability testers (n=5) who previously provided feedback about how to improve the THT website
(i.e., usability testers) before it was launched in October 2015. The five usability testers are
comprised of individuals who work for local government and public sector. Participation will be
completely voluntary. With the respondents’ permission, the interviews will be recorded to
ensure information is recorded accurately. The audio recordings will be destroyed after the final
summary report is completed. The information provided by respondents will be kept private and
no personally identifiable information will be used in the summary report. The telephone
interviews will be conducted by an employee of Shattuck & Associates, Inc.
Table 1.
Type of activity
Recruitment email for on-line
user satisfaction survey
On-line user satisfaction
survey
Recruitment email for
telephone interview
Telephone interview

Respondents
Webinar registrants

No. of Respondents
1,758

Webinar registrants

440 (25% of 1,758)

Usability Testers

5

Usability Testers

5

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.
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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.

Padmaja Vempaty
Name: ___________________________________________

Digitally signed by Padmaja Vempaty
DN: cn=Padmaja Vempaty, o=CDC/ATSDR, ou=NCEH/ATSDR, [email protected],
c=US
Date: 2016.07.27 15:38:34 -04'00'

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, 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 [X ] 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
We expect a 25% response rate for the online survey (1758*.25=440). We used the maximum
participation time of 10 minutes to estimate total burden hours for the on-line survey.
Category of Respondent

No. of
Respondents
Webinar registrants: on-line survey
440
Usability testers: recruitment email
5
Usability testers: telephone interview
5
Totals
450

Participation
Time
10/60
1/60
60/60

Burden
73.3 hours
0.1 hours
5.0 hours
78.4 hours

FEDERAL COST: The estimated annual cost to the Federal government is $17,030.

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?
[ ] Yes [X] No
Explanation: We will invite the entire universe of webinar registrants (n=1,758) to participate
in the online survey (Attachment 2). We will invite the entire universe of people who

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previously participated in usability testing (n=5) to participate in the qualitative telephone
interview (Attachment 5). No sampling will be conducted for either data collection activity.
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?
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] 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.
List of attachments:
1.
2.
3.
4.

A1_THT Recruitment Email for On-line User Satisfaction Survey
A2_THT On-line User Satisfaction Survey
A3_THT Online Survey of Webinar Registrants Screenshots
A4_THT Recruitment E-mail Letter for Telephone Interview of Previous Usability
Testers
5. A5_THT Transportation and Health Tool Telephone Interview

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Instructions for completing Request for Approval under the “Generic
Clearance for the Collection of Routine Customer Feedback”
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the
subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used.
If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or
groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other
instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the
collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide
a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the
following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal
governments; or (4) Federal Government. Only one type of respondent can be selected.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to
participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the
participation time and divide by 60.
FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
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. Please provide a description of how you plan to
identify your potential group of respondents and how you will select them. If the answer is yes,
to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than
one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or
facilitators (e.g., for focus groups) used.
Please make sure that all instruments, instructions, and scripts are submitted with the
request.
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