Supporting Statement

Request for Approval under the “Generic Clearance for Improving
Customer Experience: OMB Circular A-11, Section 280
Implementation”
(OMB Control Number: 1225-0093)
TITLE OF INFORMATION COLLECTION: Focus groups for collecting
customer feedback for Division of Energy Employees Occupational
Illness Compensation (DEEOIC)
PURPOSE OF COLLECTION: Focus groups to gather feedback from
claimants under the Energy Employees Occupational Illness
Compensation Program Act. Soliciting feedback on what the
program does well, if there are any areas for improvement, and
an overall idea of how well we serve our stakeholders in this
area. We will use the information to improve our claimants’
experiences and identify potential areas for improvement and/or
training. Additionally, information collecting in these focus
groups will be used to inform a journey mapping project.
TYPE OF ACTIVITY: (Check one)
[ X ] Customer Research (Interview, Focus Groups)
[
] Customer Feedback Survey
[
] User Testing
ACTIVITY DETAILS
1. How will you collect the information? (Check all that apply)
[
] Web-based or other forms of Social Media
[
] Telephone
[ X ] In-person
[
] Mail
[
] Other, Explain
2. Who will you collect the information from?
DEEOIC will conduct 2 focus groups at 5 outreach events. Four of
the outreach events (8 total focus groups) will include Employee
and Survivor-Claimants and one event (2 total focus groups) will
be specifically for Authorized Representatives. The focus groups
participants will be DEEOIC stakeholders who have experience
with the program. These customers will be invited to the
outreach event with the option to participate in a focus group.
3. How will you ask a respondent to provide this information?
Verbally, in a group discussion.
4. What will the activity look like?
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Each focus group will be limited to 12 people and last
approximately 60 minutes. A moderator will guide the group
through a guided discussion and an assistant moderator will take
notes. The purpose of the session is twofold; one as part of ongoing customer feedback collection efforts and two to inform
journey mapping project.
5. Please provide your question list.
Please make sure that all instruments, instructions, and scripts
are submitted with the request.
Script/prompt language attached.
6. When will the activity happen?
DEEOIC will conduct a focus group in July 2024 and continuing
through Fiscal Year 2025.
7. Is an incentive (e.g., money or reimbursement of expenses,
token of appreciation) provided to participants?
[ ] Yes [ X ] No

BURDEN HOURS
Category of Respondent
Stakeholders (10 participants in a total
of 8 Focus Groups)
Totals

No. of
Respondents
80

Participation
Time
60 minutes

Burden
Hours
80
80

CERTIFICATION:
I certify the following to be true:
1. The collections are voluntary;
2. The collections are low-burden for respondents (based on
considerations of total burden hours or burden-hours per
respondent) and are low-cost for both the respondents and the
Federal Government;
3. The collections are non-controversial and do not raise issues
of concern to other Federal agencies;
4. Any 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 near future;

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5. Personally identifiable information (PII) is collected only to
the extent necessary and is not retained;
6. Information gathered is intended to be used for general
service improvement and program management purposes
7. Upon agreement between OMB and the agency aggregated data may
be released as part of A-11, Section 280 requirements only on
performance.gov. Summaries of customer research and user
testing activities may be included in public-facing customer
journey maps.
8. Additional release of data will be coordinated with OMB.
Name: Allison Spencer
All instruments used to collect information must include:
OMB Control No. 1225-0093
Expiration Date: 02/29/2024

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