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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” HHS Online Customer Surveys (OMB Control Number: 0990-0379)

TITLE OF INFORMATION COLLECTION:

ASPR Listening Sessions

PURPOSE:

The U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response (ASPR), Ms. Dawn O’Connell, will host three virtual listening sessions with public health and healthcare stakeholders to share her vision and priorities for ASPR and provide an opportunity for participants to share their organizations current priorities and challenges in addition to a facilitated conversation with Ms. O’Connell in her new role. From these engagements the senior leadership of ASPR will be confirming that in development of future organizational activities all are in line with the needs of the stakeholders.

DESCRIPTION OF RESPONDENTS:

Representatives of healthcare sector, public health sector, and health supply chain systems that are partners of the U.S. Department of Health and Human Services and support the mission of the Office of the Assistant Secretary for Preparedness and Response (ASPR).

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[X] Focus 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:_Alysia Durant_______________________________________________

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [X] Yes – name and contact information about representatives who provide responses on behalf of their organization 

2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [] Yes [ X ] No - for Privacy Act purposes, the responses, including the PII, will be records about the organizations (not “records about individuals”) 

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ X ] 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	No. of Respondents	Participation Time	Burden hour
Public Health and Healthcare Stakeholders (Registration)	200	20 minutes	67
Public Health and Healthcare Stakeholders (Listening Session)	150	60 minutes	150
Totals	350	80 minutes	217

FEDERAL COST: The estimated annual cost to the Federal government is $1,481.40.

This cost is based on three FTE staff at the rate of $49.38 per hour for a total of 30 hours.

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? [ X ] Yes [ ] 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?

The distribution of individuals to receive this information for completion include stakeholders that represent the public health, healthcare, and private industry communities critical to fulfilling ASPR’s overall organizational mission. They are individuals which are regularly receiving information announcements and bulletins from ASPR.

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[ X ] Web-based form

[ ] Telephone

[ 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.

ASPR Listening Sessions 3