Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 1103-0117)

S UBCOMPONENT: DOJ/Community Relations Service

TITLE OF INFORMATION COLLECTION: Level 1 Evaluation of Hate Crimes Program sponsored by DOJ Community Relations Service

PURPOSE:

The purpose of this collection is to gather feedback on services provided from the Civil Rights Division/Community Relations Service and programs from the US Attorney Office (USAO).

DESCRIPTION OF RESPONDENTS:

The respondents for the survey will be participants who attended the program hosted by various USAOs. The participants can be the general public, faith-based leaders, facilitators, school administrators, students, community leaders, and representatives of advocacy organizations.

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: Program Participant 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: Michelle Jones Coles

Title: Legislative and Policy Counsel

Office: U.S. Department of Justice- Civil Rights Division, Policy Section

Phone: 202.305.3642

Fax: 202.514.0212

Email Address: [email protected]

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

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 [ x] 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
Private Sector Participants attending Presentation by USAO in collaboration with local organizations	500	1 minute	8
Totals	500	1 minute	8 hours

Estimated Annual Reporting Burden
Type of Collection	No. of Respondents	Annual Frequency per Response	Hours per Response	Total Hours
USAO-hosted presentations to educate on hate crimes	[500]	[1]	[1 minute]	[8]

FEDERAL COST: The estimated annual cost to the Federal government is $0.

These costs are comprised of:

[Provide an estimate of applicable costs: such as operational expenses (e.g., equipment, overhead, printing, postage and support staff), contractor payments and any other expense that is necessary to collect the information approved under this generic clearance.]

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

2. 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?

An evaluation is provided to each participant who attends the hate crimes presentation. These presentations may be open to the public or target-specific community groups as identified by the local needs of each local US Attorney Office.

Administration of the Instrument

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

[ ] Web-based or other forms of Social Media

[ ] Telephone

[X] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [X] Yes [ ] No

The facilitator will collect the evaluations at the end of each program or event.

Please make sure that all instruments, instructions, and scripts are submitted with the request.

The facilitator will review the evaluation form, including the instructions. The instructions are on the form and are stated as follows:

Please rate how strongly you agree or disagree with the following statements by circling one of the following:

5=Strongly Agree, 4=Agree, 3= Neutral, 2=Disagree, and 1=Strongly Disagree

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