SSA -TTCW Coordination Guidance and Support: Event Feedback Survey for TTCW Grantee Staff

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0970-0401)

TITLE OF INFORMATION COLLECTION: Tribal TANF-Child Welfare (TTCW) Coordination Guidance and Support: Event Feedback Survey for TTCW Grantee Staff

PURPOSE: Regular webinars and grantee sharing events are provided to the Tribal TANF-Child Welfare (TTCW) Coordination Grantees on a variety of topics related to program evaluation, data driven decision making, and quality assurance and continuous quality improvement. These events provide grantees with information about relevant topics through presentations as well as opportunities for discussion and learning from other grantees’ experiences.

The grantee feedback survey will be used to obtain grantee perceptions of effectiveness and appropriateness of Technical Assistance (TA) topics and formats as well as satisfaction with TA provided. Feedback will be used to inform TA provided to TTCW grantees over time, to ensure support provided by ACF meets the needs of the grantees.

DESCRIPTION OF RESPONDENTS: Respondents will be grantee staff who attend monthly TA events (such as webinars or peer sharing events) and elect to respond to this feedback survey.

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:

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 primary purpose of the results is not for public dissemination.

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 and affiliation:____Laura Nerenberg, Office of Planning, Research, and Evaluation_____

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

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

Burden hours included below cover responses by grantee staff (between one to three staff members per grantee) after multiple events (up to 33 events over the next three years).

Information Collection	Category of Respondent	No. of Respondents	No. of Responses per Respondent	Estimated Time per Response	Burden Hours
Instrument A_Event Feedback Survey for TTCW Grantee Staff	Grantee staff	20	25	5 minutes	42

FEDERAL COST: The estimated annual cost to the Federal government is _$4,900______

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 survey will be sent to all TTCW grantee staff members who attended the monthly TA event (webinar, peer sharing, etc.). There are currently 8 grantees. While many grantees are represented by a single staff member at each event, some may have between one to three staff members attend specific events. As such, we’ve estimated up to 20 individuals per call.

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

[ ] 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.

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