TITLE OF INFORMATION COLLECTION
Field Operations Directorate Focus Group on Customer Satisfaction |
PURPOSE
DESCRIPTION OF RESPONDENTS
Customers visiting one of the selected offices who can read, write, and speak in English or Spanish will be eligible to participate in the pilot study.
TYPE OF COLLECTION (Check one)
[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group
[X] Focus Group [ ] Other:
CERTIFICATION
I certify the following to be true:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
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: S. Lisbeth J. Little______________________________________________
To assist review, please provide answers to the following question:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [ ] Yes [ X] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No
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
Category of Respondent |
No. of Respondents |
Participation Time |
Burden |
Individuals Completing a survey for the focus group Focus group discussion |
100 |
45 minutes 15 min. 30 min. |
75 25 50 |
Totals |
100 |
45 minutes |
75 |
FEDERAL COST: The estimated annual cost to the Federal government is ___$50,000______
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
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
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?
Eligible participants for the study are customers at the field offices who can read, write, and speak in English or Spanish1. Recruitment procedures:
Data collection:
1 All data collection materials of approved documents will be translated into Spanish. |
Administration of the Instrument
How will you collect the information? (Check all that apply)
[ ] Web-based or other forms of Social Media
[ ] Telephone
[ X ] In-person
[ ] Other, Explain
Will interviewers or facilitators be used? [ X ] Yes [ ] No
RED staff – a social science researcher – with extensive experience conducting focus groups in English and Spanish will be facilitating the focus group discussion. This person is bilingual in English and Spanish. |
Please make sure that all instruments, instructions, and scripts are submitted with the request.
Attachments:
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |