Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
2700_0153.FRN.30 day notice, Pub 072018.pdf Supplementary Document	2018-07-24
2700_0153.FRN.60 day notice, Pub 050818.pdf Supplementary Document	2018-07-24
2700-0153.Supporting Statement July.10. 2018.docx Supporting Statement A	2018-07-24

IC Document Collections

IC ID	Document Title	Status
244343	International Space Apps Challenge Participant Survey Other-Survey	New
244298	NASA SBIR/STTR Innovation and Opportunity Conference 2020 Participant Feedback Survey Other-Survey	New
244100	NASA SBIR/STTR Helpdesk Customer Experience Survey Other-Survey	New
243977	NASA Goddard Sustaining Women in STEM (SWIS) Roundtable Discussion & Policy Forum Speakers & Breakout Sessions – Feedback Survey Other-Survey	New
243525	OSTEM Summit Survey Other-Survey	New
243155	NASA OSTEM Speaker series - Feedback Survey Other-Survey	New
243154	NASA OSTEM Focus Group Questions for Diversity and Inclusion Other-Survey	New
242715	NASA Ombudsman Program User Survey Other-Survey	New
242279	Workforce Dashboard Other-Survey	New
242269	Unity Implementation Plan Other-Survey	New
241852	Unity Campaign Pulse Survey Other-Survey	New
241851	ODEO Post MAP Survey Other-Survey	New
240958	ODEO Anti-Harassment Program (AHP) Participant Survey Other-Survey	New
240650	OCIO Post-telework Survey Other-Survey	New
240299	Health and Safety Fair Customer Feedback Survey Other-Survey	New
239913	NASA Collaboration Feedback Other-Survey	New
239004	NASA Headquarters Support Services Satisfaction Survey Other-Survey	New
238984	Facilities and Emergency Services Thermal Satisfaction Survey Other-Survey	New
237738	NASA Digital Workplace Survey Other-Survey	New
237180	Agency ODEO Customer Feedback Survey Other-Survey	New
236088	KSC Logistics Branch Customer Satisfaction Survey Other-Survey	New
236074	O365 Migration Survey PRA Generic Clearance Submission-2019 Other-Survey screenshots	New
236056	NASA Library Survey Other-Survey Screenshots	New
235922	AFRC Safety Day 2019 Feedback Survey Other-Survey	New

ICR Details

OMB Control No: 2700-0153	ICR Reference No: 201807-2700-001
Status: Active	Previous ICR Reference No: 201506-2700-001
Agency/Subagency: NASA	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: 09/12/2018
	Date Received in OIRA: 07/24/2018
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under the generic approval, NASA must do the following: 1) Unless the 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 NASA is using multiple modes of collection (e.g. paper forms and electronic submissions), the same Generic 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	09/30/2021	36 Months From Approved	09/30/2018
Responses	10,036,200	0	10,036,200
Time Burden (Hours)	146,017	0	146,017
Cost Burden (Dollars)	0	0	0

---

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 customers and stakeholders will be used to evaluate and improve Agency programs. This collection will enable NASA to expand opportunities to engage members of the public and stakeholders through small discussion groups and focus groups.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 89	05/08/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 140	07/20/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 24

IC Title	Form No.	Form Name
NASA Headquarters Support Services Satisfaction Survey
NASA Library Survey
Workforce Dashboard
OCIO Post-telework Survey
ODEO Post MAP Survey
International Space Apps Challenge Participant Survey
Unity Implementation Plan
ODEO Anti-Harassment Program (AHP) Participant Survey
AFRC Safety Day 2019 Feedback Survey
NASA Ombudsman Program User Survey
Facilities and Emergency Services Thermal Satisfaction Survey
NASA Goddard Sustaining Women in STEM (SWIS) Roundtable Discussion & Policy Forum Speakers & Breakout Sessions – Feedback Survey
O365 Migration Survey PRA Generic Clearance Submission-2019
Unity Campaign Pulse Survey
OSTEM Summit Survey
NASA Digital Workplace Survey
NASA OSTEM Focus Group Questions for Diversity and Inclusion
Health and Safety Fair Customer Feedback Survey
NASA Collaboration Feedback
NASA SBIR/STTR Helpdesk Customer Experience Survey
Agency ODEO Customer Feedback Survey
KSC Logistics Branch Customer Satisfaction Survey
NASA OSTEM Speaker series - Feedback Survey
NASA SBIR/STTR Innovation and Opportunity Conference 2020 Participant Feedback Survey

---

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	10,036,200	10,036,200	0	0	0	0
Annual Time Burden (Hours)	146,017	146,017	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:

---

Annual Cost to Federal Government:

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

---

Common Form ICR:  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:

(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: 07/24/2018

---