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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EIA-Mapping 2017 U.S. Energy Mapping System Customer Survey	Form	New	Available
Form EIA-MGOPR MGOPR Customer Satisfaction Web Survey	Form	New	Available
Form EIA-SRRPS EIA Survey Respondent Reporting Preference Survey	Form and Instruction	New	Available
Form EIA SEPS EIA State Energy Profiles Customer Satisfaction Survey	Form	New	Available
Form CAB-001 Country Analysis Brief Customer Survey	Form	New	Available
Form 1905-0210-002 EIA 2017 Conference Survey	Form	New	Available
2016-27173.pdf	Supplementary Document	Uploaded 2016-11-10	Available
2016-18120.pdf	Supplementary Document	Uploaded 2016-10-25	Available
DRAFT Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2016-03-16	Available
SS Part B Fast Track FINAL 031716.doc	Supporting Statement B	Uploaded 2016-03-18	Available
SS Part A Fast Track FINAL 102616.docx	Supporting Statement A	Uploaded 2016-10-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229051	2017 U.S. Energy Mapping System Customer Survey	Form	New	2017 U.S. Energy Mapping System Customer Survey
228920	2017 Monthly Crude Oil and Natural Gas Production Report (MGOPR) Customer Survey	Form	New	MGOPR Customer Satisfaction Web Survey
228805	EIA Survey Respondent Reporting Preference Survey	Form and Instruction	New	EIA Survey Respondent Reporting Preference Survey
228692	EIA State Energy Profiles Customer Satisfaction Survey	Form	New	EIA State Energy Profiles Customer Satisfaction Survey
227904	Uranium Customer Satisfaction Survey	Other-Survey	New
227781	2017 EIA Web Customer Satisfaction Survey	Other-Web Survey	New
226639	Country Analysis Brief Customer Satisfaction Study	Form	New	Country Analysis Brief Customer Survey
226162	2017 EIA Energy Conference Survey	Form	New	EIA 2017 Conference Survey
225650	Weekly Retail Gasoline Customer Survey		New

ICR Details

OMB Control No: 1905-0210	ICR Reference No: 201610-1905-001
Status: Historical Active	Previous ICR Reference No: 201603-1905-002
Agency/Subagency: DOE/EIA	Agency Tracking No: EIA Fast Track
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 with change	Conclusion Date: 12/14/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/10/2016
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an 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 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; 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. As a note, this collection was previously submitted and was under OMB review for 60-days, but was returned to the agency so that the agency could properly resubmit the collection as a "Quantitative Feedback on Agency Service Delivery" information collection request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	03/31/2019
Responses	150,000	0	5,000
Time Burden (Hours)	5,250	0	5,000
Cost Burden (Dollars)	378,105	0	360,100

---

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 our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency’s programs.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 50492	08/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 79008	11/10/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
2017 EIA Energy Conference Survey	1905-0210-002	EIA 2017 Conference Survey
2017 EIA Web Customer Satisfaction Survey
2017 Monthly Crude Oil and Natural Gas Production Report (MGOPR) Customer Survey	EIA-MGOPR	MGOPR Customer Satisfaction Web Survey
2017 U.S. Energy Mapping System Customer Survey	EIA-Mapping	2017 U.S. Energy Mapping System Customer Survey
Country Analysis Brief Customer Satisfaction Study	CAB-001	Country Analysis Brief Customer Survey
EIA State Energy Profiles Customer Satisfaction Survey	EIA SEPS	EIA State Energy Profiles Customer Satisfaction Survey
EIA Survey Respondent Reporting Preference Survey	EIA-SRRPS	EIA Survey Respondent Reporting Preference Survey
Uranium Customer Satisfaction Survey
Weekly Retail Gasoline Customer Survey

---

ICR Summary of Burden

table that charts list 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	150,000	5,000	0	145,000	0	0
Annual Time Burden (Hours)	5,250	5,000	0	250	0	0
Annual Cost Burden (Dollars)	378,105	360,100	0	18,005	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: EIA proposes to increase the burden hour estimate from 15,000 hours to 15,750 hours (5,250 hours annually) to reflect current growth in program needs. The number of customer satisfaction surveys has increased. The sample size used in some of those surveys has also increased and in some cases the sample size tripled. The burden time is small for each response, but the increase in responses from 15,000 to 150,000 is the main reason for this change.

---

Annual Cost to Federal Government: $127,836

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

---

Common Form ICR:  No

---

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: 11/10/2016

---