Technical Assistance Program Feedback - 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:

Technical Assistance Program Workshop 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 programs 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 series of Technical Assistance Program workshops offered annually. These short
courses last from an hour to a full day and cover a range of equal employment opportunity issues,
including the latest updates on EEO laws and tips on preventing discrimination in the workplace,
and are geared toward human resources staff, business owners, managers, supervisors, state and
local government officials, federal agency EEO staff, employment agency staff, union officials,
attorneys, and anyone else interested in EEO issues. At the conclusion of each course, the EEOC
seeks feedback from participants on the effectiveness of the presentation.
We note that the attached survey will be altered slightly for each program to reflect the names of
the sessions offered at each workshop.
DESCRIPTION OF RESPONDENTS:
Participants in TAPS workshops. 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 noncontroversial 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.

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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) – TAPS attendees (for purposes of this burden
estimate, any federal employees are not counted)
Totals

No. of
Participation
Respondents Time
4500
2 minutes per
response
4500
2 minutes per
response

Annual
Burden
150
hours
150
hours

FEDERAL COST:
The estimated cost to the government is based on the hourly rate of a GS-12 employee who
dedicates 3% of labor hours to survey Respondent, plus the cost of software and/or supplies.

Federal Cost Formula = Employee hours spent on task (60) x Employee Pay Rate ($52.40) +
software and supplies ($450) = $3594
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 courses will be asked to provide feedback on their experience.
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
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[x] In-person
[ ] e-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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