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
Census FY20 Fast Track Generic Clearance Request HRD Recruiting Event Attendance Form	Form	New	Available
HRD Recruiting Event Questionnaire	Form	New	Available
Form Enclosure IV Consent Form	Form	New	Available
Form Enclosure 1 ACS Strategic Framework Mailing Materials	Form and Instruction	New	Available
FY2020 Econ Focus Groups Moderator Guide and Participant Screener	Form and Instruction	New	Available
Recruiting Event Attendance Form (Professional Event)	Form	New	Available
Recruiting Event Feedback Survey	Form	New	Available
Sea-Run, Go! Activity Evaluation	Form	New	Available
Consent Form	Form	New	Repair queued
Form Questionnaire ACS Questionnaire	Form	New	Available
Consent Form	Form	New	Available
Consent Form	Form	New	Available
Draft 2020 Census Questionnaire	Form and Instruction	New	Available
2018 American Community Survey	Form and Instruction	New	Available
Survey	Form	New	Available
Form Survey ACS Data or User Survey	Form	New	Available
Form Form ACS Feedback Form	Form	New	Available
Form Survey TAAF Firm Satisfaction Survey Pilot	Form and Instruction	New	Available
Event Participant Evaluation Form	Form	New	Available
Generic Clearance Submission Template FINAL.doc	Supplementary Document	Uploaded 2017-06-16	Available
0690.0030.SuppStmt.Part B.052017.doc	Supporting Statement B	Uploaded 2017-06-15	Available
0690.0030.SuppStmt.052017.doc	Supporting Statement A	Uploaded 2017-06-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240033	Recruiting Event Attendance Form	Form	New	Census FY20 Fast Track Generic Clearance Request HRD Recruiting Event Attendance Form
240027	Recruiting Event Feedback Questionnaire	Form	New	HRD Recruiting Event Questionnaire
238804	EDA Customer Satisfaction Applicant Survey	Other-EDA Customer Satisfaction Applicant Survey	New
238783	EDA Grantee Customer Satisfaction Survey	Other-Grantee Satisfaction Survey	New
238535	Measuring Digital Services Related to the Machinery Sector	Other-Discussion Questions	New
238133	Measuring Digital Services Related to the Machinery Sector	Instruction	New
238103	American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews	Form	New	Consent Form
238103	American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews	Form and Instruction	New	ACS Strategic Framework Mailing Materials
238103	American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews	Other-Recruitment Material	New
238005	Office of Human Capital Services (OHCS) Customer Engagement Survey	Other-Survey	New
238000	FY2020 Known Respondent Focus Groups	Form and Instruction	New	FY2020 Econ Focus Groups Moderator Guide and Participant Screener
238000	FY2020 Known Respondent Focus Groups	Other-WBA Company Profile	New
236174	Recruiting Event Attendance Form (campus or professional organization events)	Form	New	Recruiting Event Attendance Form (Professional Event)
236173	Recruiting Event Feedback Questionnaire	Form	New	Recruiting Event Feedback Survey
236058	Economic Surveys Roundtable Discussions	Other-Moderator Guide	New
235877	Sea-Run, Go! Activity Evaluation	Form	New	Sea-Run, Go! Activity Evaluation
235197	Evaluation of Different Qualitative Pretesting Methods	Other-Study Design	New
235087	2020 Census website release 1 tree testing	Other-Instrument Screenshots	New
235086	American Community Survey (ACS) Survey Mail Materials Eye-tracking Study	Form	New	Consent Form
235086	American Community Survey (ACS) Survey Mail Materials Eye-tracking Study	Instruction	New
234602	2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Form	New	ACS Questionnaire
234602	2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Form	New	Consent Form
234602	2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Other-ACS Fifth Mailing	New
232960	2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Form	New	Consent Form
232960	2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Form and Instruction	New	Draft 2020 Census Questionnaire
232960	2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Form and Instruction	New	2018 American Community Survey
232960	2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	Instruction	New
231655	NOAA Fisheries Usability Test	Other-NMFS Usability Questions	New
230639	BroadbandUSA Webinar Feedback Survey	Form	New	Survey
230244	Electronic Export Shipment Information	Other-Knowledge Check	New
229408	American Community Survey Customer Feedback Form	Form	New	ACS Data or User Survey
229408	American Community Survey Customer Feedback Form	Form	New	ACS Feedback Form
228632	Trade Adjustment Assistance for Firms (TAAF) Firm Satisfaction Survey - Pilot	Form and Instruction	New	TAAF Firm Satisfaction Survey Pilot
228278	Evaluations for soliciting feedback on Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) elementary-middle and middle-high school educational kits	Other-Comment Form	New
227940	Online Comments Regarding the Uses of the Enhanced Magnetic Field Model	Other-Survey	New
227710	Event Participant Evaluation Form	Form	New	Event Participant Evaluation Form
227709	ITA Brand and Identity Customer Satisfaction Survey	Other-Customer Satisfaction Survey Questions	New
227707	ITA Brand and Identity Review - Focus Groups	Other-Focus Group Questions	New

ICR Details

OMB Control No: 0690-0030	ICR Reference No: 201705-0690-001
Status: Historical Active	Previous ICR Reference No: 201402-0690-001
Agency/Subagency: DOC/OS	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/25/2017
Retrieve Notice of Action (NOA)	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.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	244,710	0	244,710
Time Burden (Hours)	75,711	0	75,711
Cost Burden (Dollars)	0	0	0

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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.

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Authorizing Statute(s): None

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 14872	03/23/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24675	05/30/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 28

table that charts list of burden

IC Title	Form No.	Form Name
2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Questionnaire, None	Consent Form ,   ACS Questionnaire
2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews	None, None, None	2018 American Community Survey ,   Draft 2020 Census Questionnaire ,   Consent Form
2020 Census website release 1 tree testing
American Community Survey (ACS) Strategic Framework Mailing Materials Cognitive Interviews	Enclosure IV, Enclosure 1	ACS Strategic Framework Mailing Materials ,   Consent Form
American Community Survey (ACS) Survey Mail Materials Eye-tracking Study	NA	Consent Form
American Community Survey Customer Feedback Form	Form, Survey	ACS Feedback Form ,   ACS Data or User Survey
BroadbandUSA Webinar Feedback Survey	None	Survey
EDA Customer Satisfaction Applicant Survey
EDA Grantee Customer Satisfaction Survey
Economic Surveys Roundtable Discussions
Electronic Export Shipment Information
Evaluation of Different Qualitative Pretesting Methods
Evaluations for soliciting feedback on Students Collaborating to Undertake Tracking Efforts for Sturgeon (SCUTES) elementary-middle and middle-high school educational kits
Event Participant Evaluation Form	NA	Event Participant Evaluation Form
FY2020 Known Respondent Focus Groups	None	FY2020 Econ Focus Groups Moderator Guide and Participant Screener
ITA Brand and Identity Customer Satisfaction Survey
ITA Brand and Identity Review - Focus Groups
Measuring Digital Services Related to the Machinery Sector
Measuring Digital Services Related to the Machinery Sector
NOAA Fisheries Usability Test
Office of Human Capital Services (OHCS) Customer Engagement Survey
Online Comments Regarding the Uses of the Enhanced Magnetic Field Model
Recruiting Event Attendance Form	None	Census FY20 Fast Track Generic Clearance Request HRD Recruiting Event Attendance Form
Recruiting Event Attendance Form (campus or professional organization events)	None	Recruiting Event Attendance Form (Professional Event)
Recruiting Event Feedback Questionnaire	None	HRD Recruiting Event Questionnaire
Recruiting Event Feedback Questionnaire	None	Recruiting Event Feedback Survey
Sea-Run, Go! Activity Evaluation	None	Sea-Run, Go! Activity Evaluation
Trade Adjustment Assistance for Firms (TAAF) Firm Satisfaction Survey - Pilot	Survey	TAAF Firm Satisfaction Survey Pilot

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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	244,710	244,710	0	0	0	0
Annual Time Burden (Hours)	75,711	75,711	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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

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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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