TITLE
OF INFORMATION COLLECTION: Administration
for Native Americans (ANA) Payment Management System User
Survey
PURPOSE: The Administration for Native Americans (ANA) would like to learn more about Grant Recipients’ experiences with the Payment Management System (PMS). Data collected from the proposed surveys will be used to help ANA to identifying issues recipients find with the PMS and assist ANA and the Office of Grants Management drive processes improvements to the PMS process.
DESCRIPTION OF RESPONDENTS: Respondents will include 429 of ANA’s current grant recipients.
TYPE OF COLLECTION:
[ ] Customer Comment Card/Complaint Form [x] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group
[ ] Focus Group [ ] Other: ______________________
CERTIFICATION:
I certify the following to be true:
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 primary purpose of the results is not for public dissemination.
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 and affiliation: Amy Zukowski, ACF Administration for Native Americans
To assist review, please provide answers to the following questions:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [x] Yes [ ] No
If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [x] No
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
Information Collection |
Category of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Estimated Time per Response |
Burden Hours |
ANA Payment Management System User Survey |
Private Sector |
429 |
1 |
2 minutes |
14 Hours |
Totals |
429 |
1 |
2 |
14 |
FEDERAL COST: The estimated annual cost to the Federal government is $160
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?
ANA defines the targeted respondents as the 429 current grant recipients.
Administration of the Instrument
How will you collect the information? (Check all that apply)
[x] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain
Will interviewers or facilitators be used? [ ] Yes [x] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 0000-00-00 |
File Created | 2024-07-21 |