Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
Form Grants to States A Grants to States All States Conference Evaluation 2020 Form and Instruction	New
Form SDC Orientatoin As SDC Annual Meeting Planning and Evaluation Surveys Form and Instruction	New
Form Customer Service S Customer Service Survey for IMLS Regional Grants Workshop Form and Instruction	New
Form CC Town Hall Surve Event Evaluation: IMLS Community Catalyst Listening Sessions Form and Instruction	New
Form Tribal Convening E Evebt Evaluation: IMLS Tribal Libraries Convening Form and Instruction	New
Form Form Number One Grants to States All States Conference Evaluation Form and Instruction	New
Form Chiefs Survey 1 Survey of Library Chiefs' Utilization of Public Libraries Survey Data Form and Instruction	New
CQFASD_burden2017 for OMB Final 2017-10-13.xlsx Supplementary Document	2017-10-16
GC Qual Feedback Part B Final 2017-1013.docx Supporting Statement B	2017-10-16
GC Qual Feedback Part A Final 2017-10-13.docx Supporting Statement A	2017-10-16
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supplementary Document	2017-10-16
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supplementary Document	2017-10-16
Draft Generic Clearance 30 day FRN template.docx Supplementary Document	2014-05-27
Generic Clearance Submission Template.doc Supplementary Document	2011-06-21
Draft Generic Clearance Submission Template.docx Supplementary Document	2011-05-26

IC Document Collections

IC ID	Document Title	Status
241686	Grants to States All States Conference Evaluation 2020 Form and Instruction	New
238465	SDC Annual Meeting Planning and Evaluation Surveys Form and Instruction	New
237255	Customer Service Survey for IMLS Regional Grants Workshop Form and Instruction	New
237040	Event Evaluation: IMLS Community Catalyst Listening Sessions Form and Instruction	New
236442	Evebt Evaluation: IMLS Tribal Libraries Convening Form and Instruction	New
235654	Grants to States All States Conference Evaluation Form and Instruction	New
233904	Survey of Library Chiefs' Utilization of Public Libraries Survey Data Form and Instruction	New

ICR Details

OMB Control No: 3137-0081	ICR Reference No: 201710-3137-003
Status: Historical Active	Previous ICR Reference No: 201709-3137-001
Agency/Subagency: IMLS	Agency Tracking No:
Title: Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2017
	Date Received in OIRA: 10/16/2017
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	12/31/2020	36 Months From Approved	09/30/2020
Responses	9,854	0	4,900
Time Burden (Hours)	1,578	0	1,418
Cost Burden (Dollars)	43,985	0	38,102

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Abstract: The information collection activity will garner qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with the Administration's commitment to improving service delivery. By qualitative feedback we mean information that provides useful insights on perceptions and opinions, but are not statistical surveys that yield quantitative results that can be generalized to the population of study. This feedback will provide insights into customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers and stakeholders. It will also allow feedback to contribute directly to the improvement of program management. Feedback collected under this generic clearance will provide useful information, but it will not yield data that can be generalized to the overall population. This type of generic clearance for qualitative information will not be used for quantitative information collections that are designed to yield reliably actionable results, such as monitoring trends over time or documenting program performance. Such data uses require more rigorous designs that address: the target population to which generalizations will be made, the sampling frame, the sample design (including stratification and clustering), the precision requirements or power calculations that justify the proposed sample size, the expected response rate, methods for assessing potential non-response bias, the protocols for data collection, and any testing procedures that were or will be undertaken prior fielding the study. Depending on the degree of influence the results are likely to have, such collections may still be eligible for submission for other generic mechanisms that are designed to yield quantitative results.

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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 30	02/15/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 197	10/13/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Survey of Library Chiefs' Utilization of Public Libraries Survey Data	Chiefs Survey 1	Chiefs Survey
Event Evaluation: IMLS Community Catalyst Listening Sessions	CC Town Hall Survey Listening Sessions 2019 - 1	CC Town Hall Survey Listening Sessions 2019
Evebt Evaluation: IMLS Tribal Libraries Convening	Tribal Convening Evaluation Form June 2019 No 1	Tribal Convening Evaluation Form June 2019
SDC Annual Meeting Planning and Evaluation Surveys	SDC Orientatoin Assessment Survey 1, SDC Pre-Conference Planning 1, SDC Event Evaluation 1	SDC Orientatoin Assessment Survey ,   SDC Event Evaluation ,   SDC Pre-Conference Planning Instrument
Grants to States All States Conference Evaluation	Form Number One	Event Evaluation IMLS Grants to States All States Conference
Customer Service Survey for IMLS Regional Grants Workshop	Customer Service Survey for IMLS Regional Grants 1	Customer Service Survey for IMLS Regional Grants Workshop
Grants to States All States Conference Evaluation 2020	Grants to States All States Conference Eval 2020 1	Grants to States All States Conference Eval 2020

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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	9,854	4,900	0	4,954	0	0
Annual Time Burden (Hours)	1,578	1,418	0	160	0	0
Annual Cost Burden (Dollars)	43,985	38,102	0	5,883	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: Number of potential ICRs to double.

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Annual Cost to Federal Government: $43,984

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 10/16/2017

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