Certification for FM Customer Satisfaction Survey

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0581-0269)

TITLE OF INFORMATION COLLECTION:

Customer Satisfaction Survey for USDA’s National Farmers Market Directory

PURPOSE:

To evaluate the effectiveness of USDA’s National Farmers Market Directory and to get feedback from farmers market managers/representatives of how the Directory can be changed to better serve users.

DESCRIPTION OF RESPONDENTS:

Farmers market managers and/or market representatives that advertised their market by listing in the Directory.

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:__Edward A. Ragland, Jr.___________________________

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 [ ] No

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] 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

ategory of Respondent	No. of Respondents	Participation Time	Burden
Individuals	1,300	.083 hour	107.90
Totals	1,300	.083 hour	107.90

FEDERAL COST: The estimated annual cost to the Federal government is _$2,000.00_______

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?

The respondent list are the farmers market managers and/or the farmers market representative that updated or listed the market in USDA’s Farmers Market Directory.

An invitation to participate in the survey will be sent to all the farmers market managers and/or the farmers market representative that updated or listed the market in USDA’s Farmers Market Directory. There will not be any sampling procedure utilized.

Administration of the Instrument

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

[X ] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [ ] Yes [ X] No