Fast Track 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
0704-0553 Generic SSA.docx	Supporting Statement A	Uploaded 2019-02-15	Available
Fast Track Generic Clearance Supporting Statement Part B - DoD.doc	Supporting Statement B	Uploaded 2019-02-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237573	Enterprise Blood Management System – Donor Post Implementation Review	Other-Survey	New
237309	Department of Navy Sexual Assault Prevention and Response Office Summit Evaluation	Other-Survey	New
237206	Air Force Combined Mishap Reduction System (AFCMRS) Maintenance Survey	Other-Survey Questionnaire	New
237136	Pre-FOCI Conference Feedback	Other-Conference Feedback	New
237064	Post-FOCI Conference Feedback	Other-Conference Feedback	New
236785	DoD Issuance Training Feedback	Other-Survey	New
236601	Integrated Services Division (ISD) Customer Satisfaction Survey (Kiosk)	Other-Survey via Kiosk	New
236550	SpeakersNSA - After-Action Report	Other-Customer Feedback Survey	New
236549	Feedback from Issuance Action Officers	Other-Survey	New
236369	Resident Bill of Rights Review	Other-Survey	New
236097	Recorded Future Annual User Survey	Other-Survey	New
236091	Silo Annual User Survey	Other-Survey	New
236090	State of Strategy Conference Questionnaire	Other-Questionnaire	New
236089	Diffeo Annual User Survey	Other-Survey	New
236082	Dataminr Annual User Survey	Other-Survey	New
236054	Regulations Team Training Course Feedback Survey	Other-Survey	New
235986	CDSE Supervisor Training Evaluation Survey	Other-Survey	New
235963	CDSE Training Application Survey	Other-Suvey	New
235959	DoDEA Customer Satisfaction Survey - Parents and Sponsors	Other-Survey Instrument	New
235958	DoDEA Customer Satisfaction Survey - Teachers	Other-Survey Instrument	New
235957	DoDEA Customer Satisfaction Survey - Students	Other-Survey Instrument	New
235833	DVBIC Climate Assessment	Other-Survey	New
235832	Instructor-Led Student Learning Event Evaluation Survey	Other-Survey	New
235831	VILT Student Learning Event Evaluation Survey	Other-Survey	New
235829	Webinar Student Learning Event Evaluation Survey	Other-Survey	New
235824	eLearning Student Learning Event Evaluation Survey	Other-Survey	New
235677	Scientific Test and Analysis Techniques Center of Excellence (STAT COE) Website Use-Purpose Data	Other-Survey	New
235587	$ense Summative Testing	Other-Survey	New
235502	ForeSee Feedback Questionnaire	Other-Survey Question	New
235501	ForeSee Desktop & Mobile Questionnaire	Other-Survey Questions	New
235451	$ense Beta Testing	Other-Survey	New
235435	Army CIDC Wellness Program Survey	Other-Survey	New
235396	Defense Security Service Employee Suggestion/Comment Form	Other-Feedback Survey	New
235395	DON SAPRO Summit Evaluation	Other-Feedback Survey	New
235394	Boat Ramp Exit Survey	Other-Survey	New
235393	Boating Survey for Marina Tenants	Other-Survey	New
235390	Boating Survey for Lake Stakeholders	Other-Survey	New

ICR Details

OMB Control No: 0704-0553	ICR Reference No: 201902-0704-006
Status: Historical Active	Previous ICR Reference No: 201512-0704-010
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Fast Track 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: 03/18/2019
	Date Received in OIRA: 02/15/2019
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	03/31/2022	36 Months From Approved	04/30/2019
Responses	300,000	0	300,000
Time Burden (Hours)	50,000	0	50,000
Cost Burden (Dollars)	1,378,000	0	1,135,500

---

Abstract: Executive Order 12862 directs Federal agencies to provide service to the public that matches or exceeds the best service available in the private sector. In order to work continuously to ensure that our programs are effective and meet our customers’ needs, the Department of Defense (hereafter “the Agency”) seeks to obtain OMB approval of a generic clearance to collect qualitative feedback on our 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.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: null
  

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 61151	11/28/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 4451	02/15/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 37

table that charts list of burden

IC Title	Form No.	Form Name
$ense Beta Testing
Boating Survey for Marina Tenants
$ense Summative Testing
ForeSee Feedback Questionnaire
eLearning Student Learning Event Evaluation Survey
Webinar Student Learning Event Evaluation Survey
Silo Annual User Survey
Boating Survey for Lake Stakeholders
Army CIDC Wellness Program Survey
VILT Student Learning Event Evaluation Survey
Defense Security Service Employee Suggestion/Comment Form
Recorded Future Annual User Survey
Air Force Combined Mishap Reduction System (AFCMRS) Maintenance Survey
Pre-FOCI Conference Feedback
Instructor-Led Student Learning Event Evaluation Survey
DoDEA Customer Satisfaction Survey - Teachers
Post-FOCI Conference Feedback
Integrated Services Division (ISD) Customer Satisfaction Survey (Kiosk)
Resident Bill of Rights Review
DON SAPRO Summit Evaluation
ForeSee Desktop & Mobile Questionnaire
Diffeo Annual User Survey
Feedback from Issuance Action Officers
Boat Ramp Exit Survey
DoDEA Customer Satisfaction Survey - Students
DoDEA Customer Satisfaction Survey - Parents and Sponsors
DoD Issuance Training Feedback
Scientific Test and Analysis Techniques Center of Excellence (STAT COE) Website Use-Purpose Data
DVBIC Climate Assessment
CDSE Supervisor Training Evaluation Survey
State of Strategy Conference Questionnaire
Dataminr Annual User Survey
Regulations Team Training Course Feedback Survey
CDSE Training Application Survey
Enterprise Blood Management System – Donor Post Implementation Review
Department of Navy Sexual Assault Prevention and Response Office Summit Evaluation
SpeakersNSA - After-Action Report

---

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	300,000	300,000	0	0	0	0
Annual Time Burden (Hours)	50,000	50,000	0	0	0	0
Annual Cost Burden (Dollars)	1,378,000	1,135,500	0	242,500	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: $185,368

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

---

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: 02/15/2019

---