Voluntary Customer Surveys in Accordance with E.O. 12862

Forms and Documents

Document Name	Status
Form G-201 (08-03) Customer Assessment Survey Form and Instruction	New
C0192.suppplement.doc Supporting Statement B	2006-12-14
3220-0192.doc Supporting Statement A	2006-12-14
ACSI Report (09-06).pdf Supplementary Document	2006-12-14

IC Document Collections

IC ID	Document Title	Status
46460	Customer Assessment Survey Form and Instruction	New

ICR Details

OMB Control No: 3220-0192	ICR Reference No: 200612-3220-002
Status: Historical Active	Previous ICR Reference No: 200311-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Voluntary Customer Surveys in Accordance with E.O. 12862
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2007
	Date Received in OIRA: 12/22/2006
Terms of Clearance: This generic ICR is approved consistent with RRB agreement to submit specific survey instruments, supporting statements (including statistical methods when applicable), and burden estimates to OMB for review and approval as they become available. OMB will aim to conclude review within 14 days. However, RRB should not assume individual ICs have received OMB approval until RRB has received such approval explicitly, even after 14 days have elapsed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	36 Months From Approved	03/31/2007
Responses	1,750	0	2,050
Time Burden (Hours)	735	0	742
Cost Burden (Dollars)	0	0	0

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Abstract: The Railroad Retirement Board (RRB) utilizes voluntary customer surveys to ascertain customer satisfaction with the RRB in terms of timeliness, appropriateness, access, and other measures of quality service. Surveys involve individuals that are direct or indirect beneficiaries of RRB services as well as railroad employers who must report earnings.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Voluntary Customer Surveys
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 51236	08/29/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 71596	12/11/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Customer Assessment Survey	G-201 (08-03)	Customer Assessment Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,750	2,050	0	-300	0	0
Annual Time Burden (Hours)	735	742	0	-7	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden for this collection has been slightly adjusted, largely to adjust the burden estimate for Form G-201, Customer Assessment Survey.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/15/2006

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