Federal Course Evaluation - 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:

Federal Course and Customer Specific Training Feedback Survey
PURPOSE:
As part of its mission, the EEOC is committed to providing a program of education to keep the
public informed of the latest developments in equal employment opportunity (EEO) law. These
training and technical assistance courses are vital to eliminating unlawful discrimination in the
workplace, and to ensure that the program is effective, the EEOC needs feedback from
participants. Two such programs are the EEOC federal courses and customer specific training.
These programs cover EEO issues and practices affecting the federal workplace (geared toward
federal employees, supervisors, EEO counselors and investigators, agency representatives and
attorneys) and non-federal employees interested in EEO issues. At the conclusion of each
course/training, the EEOC seeks feedback from participants on the effectiveness of the
presentation.
DESCRIPTION OF RESPONDENTS:
Participants in federal courses and customer specific training. 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.
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: Patricia L. St. Clair, Assistant Director for Training and Outreach, EEOC Office of
Federal Operations
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1

1. Is personally identifiable information (PII) collected? [x] Yes [ ] No
*Note: the survey includes requests for respondent name, agency or company, phone
number, and email; however, 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
Federal course attendees and CST attendees (for
purposes of this burden estimate, federal employees
are not counted)
Totals

No. of
Participation
Respondents Time
9180
2 minutes per
response

Annual
Burden
306
hours

9180

306
hours

2 minutes per
response

FEDERAL COST: The estimated cost to the government was based on the hourly rate of a GS13 employee who dedicates 5% of labor hours to survey management, and a GS-12 employee
who dedicates 6% of labor hours to survey respondent, plus the cost of software and/or supplies.
Federal Cost Formula: Employee hours spent on task (104) + (120) x Employee Pay Rate
($55.75) (52.40) + software and supplies ($150) = $12,236
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
2

[x] 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.

3