FastTrack MDI Symposium

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 3133-0188)
TITLE OF INFORMATION COLLECTION: CURE Minority Depository Institution
Symposium Evaluation
PURPOSE: The National Credit Union Administration (NCUA) seeks feedback on the content of
the MDI Symposium offered through the agency’s Office of Credit Union Resources and Expansion
(CURE).
The Symposium evaluations are designed to collect information from the respondents about the
sessions held at the Symposium and how well the topics covered addressed the needs of MDI credit
unions. The evaluations will be available online through the agency’s Survey Monkey account.
Respondents will receive an invitation by email with a link to the evaluation included.

DESCRIPTION OF RESPONDENTS: An evaluation will be issued to participants attending
the MDI Symposium which will include MDI credit unions and other stakeholders in the
industry. CURE has contacts within these organizations directly and through other contacts
within the industry.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[ ] Customer Satisfaction Survey
[ ] Small Discussion Group
[X ] Other: Survey Monkey

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.

MAHALA
VIXAMAR

Digitally signed by
MAHALA VIXAMAR
Date: 2023.08.22
12:16:40 -04'00'

Program Contact: Ronald Goode, CURE
To assist review, please provide answers to the following question:

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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 N/A
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No
N/A
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
Credit Unions (Individuals) & Other Industry
Stakeholders
Totals

No. of
Participation
Respondents Time
60
6 Minutes

Burden

60

6

6

FEDERAL COST: $1,000
(The cost is estimated by 8 hours of analyst time and the cost of the survey platform to administer
the feedback form to the respondents.)
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?
The feedback form will be sent to all attendees of the 2-day Symposium. There will be no sample
selection, it will be a census of those attending.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] Web-based or other
[ ] In-person
forms of Social Media
[ ] Mail
[ ] Telephone
[ ] Other, Explain
2. Will interviewers or facilitators be used?
[ ] Yes
[X] No

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