One Pager

Fast Track Generic - One Pager.doc

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

One Pager

OMB: 0704-0553

Document [doc]
Download: doc | pdf

Request for Approval under the “Fast Track Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0704-0553)

T ITLE OF INFORMATION COLLECTION: DoD Issuance Online Training Feedback


PURPOSE: The purpose of this collection is to learn more about action officer and support staff experience levels with the DoD issuance process and obtain input about topics they need they need more training on.



DESCRIPTION OF RESPONDENTS:


DoD employees and contractors who work heavily with the issuance process either as action officers or focal points.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [x] Other: _Training Feedback Survey__



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.


Name:_Nathalie Holberg_________________


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


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [x] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [x] No


BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Contractors

20

15 minutes

5 Hrs





Totals

20

15 minutes

5 Hrs


PUBLIC COST: The estimated annual cost to the public is ____$7.25 X 5Hr = $36.25____


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? [x] Yes [ ] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


We have a database with current and former issuance focal points and action officers that we will use to build a recipient list. We will send out the survey to everyone on the list and analyze data based on the responses.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[x] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

  1. Will interviewers or facilitators be used? [ ] Yes [x] No


2

File Typeapplication/msword
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
Last Modified BySYSTEM
File Modified2019-07-02
File Created2019-07-02

© 2024 OMB.report | Privacy Policy