Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

ICR 201707-0960-002 · OMB 0960-0788 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statement 0788.docx Supporting Statement A Uploaded 2017-07-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
235830 Fast Healthcare Interoperability Resources (FHIR) and Consumer Directed Exchange Feasiblility Study Questinnaire Other-FHIR Reasiblility Study Questionnaire New
235336 Usability Testing of SSA Electronic Projects Other-Usability Testing of SSA Electronic Projects FY19 Product New
234816 FY 19 Caller Surveys Other-FY19 800# Caller Survey New
233960 eCBSV Outreach Survey under the Economic Growth, Regulatory Relief, and Consumer Protection Act Other-2018 SSA Initiative Needs Assessment Survey New
233486 IdeaScale Forum for Advance Designation of Representative Payees Other-IdeaScale Forum Questions New
233131 National Disability Forum (NDF) Other-Disability Forum Evaluation Form FY 19 New
232688 Interviews to Collect Customer Feedback Regarding SSA's Earnings Submission Process. Other-Survey Documentation New
232149 User Research for SSA Projects - Usability Testing Other-Sample Questionnaire New
231951 Retirement Research Consortium (RRC) and Disability Research Consortium (DRC) Other-Survey New
229969 Usability Testing of SSA Electronic Projects Other-Usability Testing of SSA Electronic Projects FY18 Product New
229102 Work Incentive Planning and Assistance (WIPA) Customer Comment Instrument Other-WIPA Sample New
228823 Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey Other-Survey Documentation New
227442 Fast Track Template Blank Other-Generic Clearance Blank Template New
ICR Details
0960-0788 201707-0960-002
Historical Active 201409-0960-007
SSA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)
Revision of a currently approved collection   No
Regular
Approved without change 09/29/2017
Retrieve Notice of Action (NOA) 07/11/2017
Terms of the Generic ICR remain in effect.   Approved consistent with the following terms of clearance: SSA will submit to OMB an annual progress report summarizing actual burden, reporting results achieved. In the event that additional hours are required, SSA will need to submit a nonmaterial/nonsubstantive change in burden request for the overall Generic ICR. For each information collection that SSA undertakes, SSA will provide OMB a summary of objectives, specific burden estimates, and all final survey instruments. Each information collection must be entered into ROCIS as an IC. OMB will attempt to provide comments within ten days of official receipt of an individual clearance package. However, the SSA must receive explicit OMB approval prior to initiating any proposed collections under this clearance.
  Inventory as of this Action Requested Previously Approved
09/30/2020 36 Months From Approved 09/30/2017
205,485 0 346,530
38,559 0 56,744
0 0 0

This collection of information is necessary to enable SSA 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 helps ensure that users have an effective, efficient, and satisfying experience with SSA's programs.

None
None

Not associated with rulemaking

  82 FR 17494 04/11/2017
82 FR 27939 06/19/2017
No

  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 205,485 346,530 0 0 -141,045 0
Annual Time Burden (Hours) 38,559 56,744 0 0 -18,185 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Since the last time we cleared this information collection, the agency has further developed our customer satisfaction activities, estimated our agency needs, and fine-tuned our collection methods based on the Fast Track protocol. We are projecting fewer representative annual burden for the next three years, as we anticipate we will need fewer customer satisfaction activities.

$131,204
No
    Yes
    Yes
No
No
No
Uncollected
Faye Lipsky 410 965-8783 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/11/2017