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

Forms and Documents

Document Name	Status
Draft Generic Clearance Submission - Blank Template.docx Supplementary Document	2020-09-11
Supporting Statement Part B - 0788.docx Supporting Statement B	2020-09-11
Supporting Statement Part A - 0788.docx Supporting Statement A	2020-09-11

IC Document Collections

IC ID	Document Title	Status
244945	User Research & Usability Testing of SSA Electronic Projects Other-Usability Testing of SSA Electronic Projects 2021 Consent	New
244787	Disability Perceptions Survey Pretest Other-Disability Perceptions Survey	New
244526	Employer Wage Reporting Journey Pilot, Description of Survey of Virtual EDPNA Exam experience Other-Survey	New

ICR Details

OMB Control No: 0960-0788	ICR Reference No: 202008-0960-010
Status: Active	Previous ICR Reference No: 202003-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2020
	Date Received in OIRA: 09/11/2020
Terms of Clearance: When relevant for a given collection, the agency will strive to provide an electronic instrument in addition to any non-electronic instruments in use.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved	10/31/2020
Responses	5,455,212	0	4,100,000
Time Burden (Hours)	1,153,887	0	766,667
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable SSA to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders helps ensure that users have an effective, efficient, and satisfying experience with SSA's programs.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 37996	06/24/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 56284	09/11/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Employer Wage Reporting Journey Pilot, Description of Survey of Virtual EDPNA Exam experience
Disability Perceptions Survey Pretest
User Research & Usability Testing of SSA Electronic Projects

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ICR Summary 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	5,455,212	4,100,000	0	1,355,212	0	0
Annual Time Burden (Hours)	1,153,887	766,667	0	387,220	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Since the last time we cleared this information collection, the agency has further developed our customer satisfaction activities, estimated our agency needs, and fine-tuned our collection methods based on the Fast Track protocol. We are projecting higher representative annual burden for the next three years, as we anticipate we will need more customer satisfaction activities.

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Annual Cost to Federal Government: $131,204

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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.     Yes

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? No

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Common Form ICR:  No

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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: 09/11/2020

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