Fast-Track Template

FSA ICP_ProducerSurvey_ACRS Pilot.docx

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

Fast-Track Template

OMB: 0503-0021

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0503-0021)

Shape1 TITLE OF INFORMATION COLLECTION: Acreage Crop Reporting Streamlining Initiative (ACRSI) Pilot Participant Survey


PURPOSE: Survey producers participating in the Farm Service Agency (FSA) channel of ACRSI pilot to see if goals were reached from the producers prospective. The survey results will be used as part of the pilot success analysis, lessons learned, and next phase preparation.



DESCRIPTION OF RESPONDENTS: Current FSA Producer Pilot Participants – Producers from 15 counties in Iowa and 15 counties in Illinois.


State

County



State

County


Illinois

Bureau



Iowa

Benton


Illinois

Christian



Iowa

Boone


Illinois

DeWitt



Iowa

Calhoun


Illinois

Iroquois



Iowa

Humboldt


Illinois

LaSalle



Iowa

Iowa


Illinois

Livingston



Iowa

Jasper


Illinois

Logan



Iowa

Johnson


Illinois

McLean



Iowa

Keokuk


Illinois

Macon



Iowa

Linn


Illinois

Marshall



Iowa

Madison


Illinois

Moultrie



Iowa

Marshall


Illinois

Piatt



Iowa

Poweshiek


Illinois

Putnam



Iowa

Sac


Illinois

Sangamon


Iowa

Warren


Illinois

Stark



Iowa

Wright


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [x] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus 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: Todd Anderson, Section Head, Common Process Section, Program Deliver Branch, PECD.

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 [ x ] 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


Category of Respondent

No. of Respondents

Participation Time

Burden

Individuals or Households

200

5 min

16.5 hrs





Totals






FEDERAL COST: The estimated annual cost to the Federal government is $1,000.


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

  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?


FSA producers have been identified for participation in the ACRSI pilot. The universe of respondents is known.


Administration of the Instrument


  1. How will you collect the information? (Check all that apply)

[ x ] Web-based or other forms of Social Media (Survey Monkey)

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain


  1. Will interviewers or facilitators be used? [ ] Yes [ x ] No

4

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2021-01-23

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