OSHA New VPP--Req 5_Template

Individual Information Collection Request

Under GSA’s Generic Clearance: Improving Customer Experience - Implementation of Section 280 of OMB Circular A-11

OMB Control No. 3090-0321

OVERVIEW

1. GSA will be administering this collection on behalf of the following approved Department-level organization:
   Department of Labor
   
   

2. Additional sub component, office, program:
   Occupational Safety and Health Administration
   
   

3. Agency POC name:
   Jennifer Kole
   
   

4. Agency POC email:
   [email protected]
   
   

5. Description of service Touchpoint is measuring:
   Voluntary Protection Programs (VPP) support the safety of 130 million workers employed across 8 million worksites. To participate, employers must submit an application to OSHA and undergo a rigorous onsite evaluation by a team of safety and health professionals. Union support is required for applicants represented by a bargaining unit. VPP participants are re-evaluated every three to five years to remain in the programs. VPP participants are exempt from OSHA programmed inspections while they maintain their VPP status.
   
   

6. Point of service at which the Touchpoint survey is presented:
   A link to the survey is included in a follow-up email sent to New VPP customers post-interaction.
   
   

7. Method by which the Touchpoint survey is presented:

   1. [ ] Web-based: pop-up on webpage while a user is browsing

   2. [ ] Web-based: embedded into webpage

   3. [X] Email: With link to click and submit

   4. [ ] In-person: At a computer or tablet kiosk

   5. [ ] Mail

   6. [ ] Other, Explain
      
      

8. Description of respondents:

• Do you have a customer list or something similar that defines the universe of potential respondents?
  Yes, the customer list of new VPP participants.
  
  

• Will the survey be presented to all potential customers that interact at the point described in #5, or is there a sampling plan from selecting from this universe? If a sampling plan, describe that here.
  Yes, the survey will be sent to all customers in this universe.

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 other than in aggregated forms described in the generic clearance.

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.

7. The questions and other survey details are in line with the Supporting Statements of this clearance.

Name (Touchpoints Manager supporting this collection): Lauren Ancona

BURDEN HOURS:

Category of Respondent	No. of Respondents	Participation Time	Burden Hours
Email survey respondents	60	3 minutes	3
Totals	60	3 minutes	3

FEDERAL COST:

If any costs are associated with this collection beyond the Agency and Touchpoints staff time spent developing the survey and technical operating costs of Touchpoints, please describe and calculate these here:
There are no additional costs associated with this collection.