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Fast_Track_Template CommSurvey.pdf

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

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OMB: 0704-0553

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Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 0704-0553)
TITLE OF INFORMATION COLLECTION:
Center for Development of Security Excellence (CDSE) Communications Survey
PURPOSE:
CDSE is collecting information to ensure that our customers are satisfied with our products and
services. We will then be briefing this feedback to leadership to help influence training,
education, and certification products and services.
DESCRIPTION OF RESPONDENTS:
Contractors
TYPE OF COLLECTION:

[If “Other”, explain]
CERTIFICATION:
I certify the following to be true:
1. The collection is voluntary.
2. The collection is low-burden for respondents and low-cost for the Federal Government.
3. The collection is non-controversial and does not raise issues of concern to other federal
agencies.
4. The results are not intended to be disseminated to the public.
5. Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
6. The collection is targeted to the solicitation of opinions from respondents who have
experience with the program or may have experience with the program in the future.
1/10/2020

X Samantha Dambach
Signed by: DAMBACH.SAMANTHA.EILEEN.1469846268

Name: Samantha Dambach
To assist review, please provide answers to the following question:

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PERSONALLY IDENTIFIABLE INFORMATION:
1. Is personally identifiable information (PII) collected?
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974?
3. If Yes, has an up-to-date System of Records Notice (SORN) been published?

GIFTS OR PAYMENTS:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants?

BURDEN HOURS
Category of Respondent
Private Industry

No. of Respondents

2,500
Total: 2,500

Participation Time (min) Burden (hr)
10 minutes
10 minutes

416
416

FEDERAL COST:
The estimated annual cost to the Federal government is $4,103.90.
If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions:
The selection of your targeted respondents
1. Do you have a customer list or something similar that defines the universe of potential
respondents and do you have a sampling plan for selecting from this universe?

We will pull names from our learning management system to send out to, as well as use the
website, subscription emails, and social media.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)

2. Will interviewers or facilitators be used?

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File Typeapplication/pdf
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified2020-01-14
File Created2020-01-14

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