Fast Track Generic Clearance for the Collection of Routine Customer Feedback - HHS Communication

Forms and Documents

Document Name	Status
MEMO_FastTrack Generic Clearance Submission Template.docx Supplementary Document	2017-09-21
0990- 30 day Federal Register, Volume 82 Issue 111 (Monday, June 12, 2017).htm Supplementary Document	2017-06-15
Supplemental3-9-17.docx Supplementary Document	2017-03-14
0990-Communication FT Generic60-day Federal Register, Volume 82 Issue 48 (Tuesday, March 14, 2017).htm Supplementary Document	2017-03-14
0990- SS-A FT Generic-HHS Communication 09-21-17.docx Supporting Statement A	2017-09-21

IC Document Collections

IC ID	Document Title	Status
242349	Pathways to Public Service: Program Evaluation and Feedback Solicitation Other-survey	New
242004	HC3 Customer Feedback Form Other-survey	New
240812	Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization Other-Protocol	New
240692	Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization Other-Focus Group	New
235189	Office on Women's Health Mental Health Models Program Stakeholder Engagement with Subject Matter Experts Instruction	New
234891	Stakeholder Experience of HHS Regional Service Delivery Other-Screenshots	New
234882	Opioid Care Coordination Consultation Meetings Feedback Other-survey	New
234615	"Talk. They Hear You."® Campaign Focus Groups for 2019 Public Service Announcements Other-Guide	New
233976	Adolescent Health: Think. Act. Grow (TAG): Playbook Survey Other-OnlineSurvey	New
231137	HHS/ASPA Opioids Strategic Communication Plan and Messaging Other-survey	New

ICR Details

OMB Control No: 0990-0459	ICR Reference No: 201703-0990-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Fast Track Generic Clearance for the Collection of Routine Customer Feedback - HHS Communication
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/25/2017
	Date Received in OIRA: 06/16/2017
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.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved
Responses	1,000,000	0	0
Time Burden (Hours)	500,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable HHS to garner customer and stakeholder feedback. Information will be collected from our customers and stakeholders from the concept phase to the end of the product life cycle. This will help ensure that users have an effective, efficient, and satisfying experience with HHS communications products. The primary objectives are to determine whether HHS communications products: 1) meet the needs of the audience; 2) use effective mediums for delivering messages to audiences; 3) motivate the expected impact or change; 4) require mid-course corrections; and 5) require change in development and dissemination strategies for future communications. HHS Offices plan to use the data collected under this generic clearance to determine if they are reaching their target audience and meeting audience need. Data collected through the surveys will also be used to inform the development of HHS communication products and identify areas for improvement in content or delivery, and impact measures. If needed, revisions would be intended to increase the success rate of communication products, increasing the return on investment. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Section 301 of the Public Health Service Act
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13636	03/14/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 26940	06/12/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Stakeholder Experience of HHS Regional Service Delivery
Office on Women's Health Mental Health Models Program Stakeholder Engagement with Subject Matter Experts
Pathways to Public Service: Program Evaluation and Feedback Solicitation
HC3 Customer Feedback Form
Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization
Opioid Care Coordination Consultation Meetings Feedback
HHS/ASPA Opioids Strategic Communication Plan and Messaging
Adolescent Health: Think. Act. Grow (TAG): Playbook Survey
"Talk. They Hear You."® Campaign Focus Groups for 2019 Public Service Announcements
Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization

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ICR Summary 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	1,000,000	0	0	1,000,000	0	0
Annual Time Burden (Hours)	500,000	0	0	500,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: New Father Generic Fast Track

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Annual Cost to Federal Government: $383,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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Common Form ICR:  No

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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: 06/16/2017

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