To request approval of individual information collections under this generic approval, the agency must: 1) Provide a Generic Clearance Submission Template for each Instrument. If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 2) Upload each Generic Clearance Submission Template as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 3) Submit no more than five Generic Submission Templates with each request.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
04/30/2019
36 Months From Approved
04/30/2016
1,000,000
0
1,000,000
50,000
0
25,000
0
0
0
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 our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the agency's programs. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management.
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Of the original 25,000 hours that were approved, CMS used 22,261 hours. We are seeking to carryover 6,566 hours and requesting an additional 43,434 hours, for a total of 50,000 hours.
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:
(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;
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.
End Stage Renal Disease (ESRD) Grievant Satisfaction Survey (IC#5) - Round 2