EEOC EXCEL-short form

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 3046-0048)
TITLE OF INFORMATION COLLECTION:
EXCEL Customer Feedback Survey
PURPOSE:
The EEOC has a statutory mandate under Title VII of the Civil Rights Act of 1964, as amended
to provide technical assistance and training on the laws it enforces, see 42 U.S.C. §2000e-4(j),
and offers training programs through the EEOC Training Institute to keep the public informed of
the latest developments in equal employment opportunity (EEO) law. These training and
technical assistance seminars are vital to eliminating unlawful discrimination in the workplace,
and to ensure that the programs are effective, the EEOC needs feedback from participants. One
such program is the Examining Conflicts in Employment Laws Conference, or EXCEL
Conference, offered annually to EEO managers, supervisors, practitioners, HR professionals,
attorneys, ADR specialists, and other interested parties. At the conclusion of each day, the EEOC
seeks feedback from participants on the effectiveness of the day’s sessions.
We note that the attached survey will be altered slightly each year to reflect the names of the
sessions offered at each conference, and that the Day One/Two/Three survey will be revised for
each day of the conference to reflect the presentations offered during that day. We also note that
this submission includes two alternatives of the same survey, one for an in-person attendee and
another for a virtual attendee. The two are substantially identical except for one question in
which the in-person form asks for feedback on the facility and the virtual form asks for feedback
on the virtual platform.
DESCRIPTION OF RESPONDENTS:
Participants in the EXCEL Conference. Attendance is voluntary – participants register through
the EEOC Training Institute website at https://eeotraining.eeoc.gov.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[x] Customer Satisfaction Survey
[ ] Small Discussion Group
[ ] Other:

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.

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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 Crew, Program Analyst, EEOC Office of Field Programs, Revolving Fund
Division/EEOC Training Institute
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [x] Yes [ ] No
*Note: the survey includes space for participants to submit business contact information.
Providing this information is optional.
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [x] Yes [ ] No
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [x] 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
(2) – EXCEL attendees (for purposes of this burden
estimate, federal employees are not counted)
Totals

No. of
Participation
Respondents Time
250
10 minutes
250

10 minutes

Burden
42
hours
42
hours

FEDERAL COST: The estimated cost to the government is based on the hourly rate of a GS12 employee who dedicates 2% of labor hours, plus the cost of software.
Federal Cost Formula: Employee hours spent on task (50) x Employee Pay Rate ($52.40) +
software ($500) = $3120
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?
[ ] Yes [x] 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?
All participants in the conference will be asked to provide feedback on their experience.

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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
2. Will interviewers or facilitators be used? [ ] Yes [x] No
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

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