Generic Fast-Track Template OMWI Webinar Feedback

Fast-Track_Generic_Template_OMWI Webinar Feedback Survey_081321.pdf

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Generic Fast-Track Template OMWI Webinar Feedback

OMB: 3133-0188

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National Credit Union Administration

1

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 3133-0188)
TITLE OF INFORMATION COLLECTION: OMWI Webinar Feedback
PURPOSE: The Office of Minority and Women Inclusion (OMWI) conducts outreach events
such as webinars to provide support and learning opportunities for the credit union industry.
Feedback is collected via a feedback survey provided to participants of a webinar. Though the
webinar topics may differ, the same type of information will be collected from each webinar
participant.
DESCRIPTION OF RESPONDENTS: The target respondents are individuals who participate
in the webinar. Most of the participants will be credit union employees and volunteers.
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.
2.
3.
4.
5.
6.

The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal
agencies.
The results are not intended to be disseminated to the public.*
Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
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: _______________________________
NCUA PRA Clearance Officer

Date: 8/13/2021

Program Contact: Malia Peel, OMWI
*The results will be published and may be made available to interested parties as circumstances
demand. Where that occurs, NCUA will communicate that qualitative nature of the results and
that they are not generalizable to the population of the users.

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National Credit Union Administration

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To assist review, please provide answers to the following question:
Personally Identifiable Information:
1.
Is personally identifiable information (PII) collected? [ ] Yes [ X ] No
2.
If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3.
If Yes, has an up-to-date System of Records Notice (SORN) been published?
[ ] 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

Individuals – Webinar participants

No. of
Respondents

Participation Time

1,000/year*

5 mins./0.0833

Burden
Hours

83.33

Totals
1,000
83.33
*Approximately 2 webinars with an estimated 500 participants conducted annually. The topics
may vary, but the evaluation questions remain the same.
FEDERAL COST: The estimated annual cost to the Federal government is $ 2,000.
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 – 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?
Surveys are made available to participants of a particular webinar.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[ X ] Web-based or other forms of
[ ] In-person
Social Media
[ ] Mail
[ ] Telephone
[ ] Other, Explain
2. Will interviewers or facilitators be used?

[ ] Yes

2

[ X ] No


File Typeapplication/pdf
File TitleMicrosoft Word - Fast-Track_Generic_Template_OMWI Webinar Feedback Survey_081321
AuthorDWOLFGANG
File Modified2021-08-13
File Created2021-08-13

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