Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

Forms and Documents

Document Name	Status
Justification for Non substantive Changes.doc Justification for No Material/Nonsubstantive Change	2014-09-09

IC Document Collections

IC ID	Document Title	Status
226036	National Disability Forum and Surveys (NDF) Other-Internet Registration Form	New
222617	Retirement Research Consortium (RRC) and Disability Research Consortium (DRC) Other-survey	New
222252	Acquisition 360: Pre-award & Debriefing Satisfaction Survey Other-Survey	New
219941	Survey of Social Security Partners Other-Customer Satisfaction Survey	New
219473	Social Security Communication Satisfaction Survey Other-Focus Group Guide	New
219244	Social Security Express Tablet Satisfaction Survey Other-Satisfaction Survey	New
219065	Pre- and Post-Training Online Questions for the Representative Payee Training Other-Online Survey	New
218024	Flexible Video Proof of Concept Survey Other-Survey Questions	New
217908	Pre- and Post-Training Questions for the Representative Payee Training Other-Proposed Survey Questions	New
217662	Retirement Research Consortium Conference Survey Other-survey	New
217146	Surve - 360 Acquisition: Pre-award & Debriefing Satisfaction Survey Other-survey	New
216957	Federal Feedback Button Pilot Customer Satisfaction Survey Other-survey	New
216636	Virtual Job Fair (VJF) Post Event Survey Other-survey	New
215645	SSA Redesigned Home Page - Focus Groups Other-survey	New
214961	Electronic Access Enhancements Electronic Bulletin Board Other-survey	New
213727	Vision 2025 Customer Expectation Survey Other-survey	New
213561	Customer Satisfaction Survey - Good Morning SSA Other-survey	New
213230	Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts Other-survey	New
211669	Fast Track Template Blank Other-template GC Fast Track	Removed

ICR Details

OMB Control No: 0960-0788	ICR Reference No: 201409-0960-007
Status: Historical Active	Previous ICR Reference No: 201405-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/23/2014
	Date Received in OIRA: 09/12/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	07/31/2017	07/31/2017
Responses	346,530	0	46,530
Time Burden (Hours)	56,744	0	31,744
Cost Burden (Dollars)	0	0	0

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Abstract: Removing the Fast Track blank template from the IC list to restore projected burden hours/responses to use as instructed by Mike Johnson. We are also requesting to increase overall burden data for 3-year plan. This collection of information is necessary to enable SSA to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders helps ensure that users have an effective, efficient, and satisfying experience with SSA's programs.

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Authorizing Statute(s): None

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:
	79 FR 17632	03/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 34824	06/18/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

IC Title	Form No.	Form Name
Federal Feedback Button Pilot Customer Satisfaction Survey
Customer Satisfaction Survey - Good Morning SSA
Social Security Communication Satisfaction Survey
Acquisition 360: Pre-award & Debriefing Satisfaction Survey
Surve - 360 Acquisition: Pre-award & Debriefing Satisfaction Survey
Retirement Research Consortium Conference Survey
Social Security Express Tablet Satisfaction Survey
National Disability Forum and Surveys (NDF)
Vision 2025 Customer Expectation Survey
Fast Track Template Blank
Flexible Video Proof of Concept Survey
Survey of Social Security Partners
SSA Redesigned Home Page - Focus Groups
Electronic Access Enhancements Electronic Bulletin Board
Pre- and Post-Training Questions for the Representative Payee Training
Retirement Research Consortium (RRC) and Disability Research Consortium (DRC)
Virtual Job Fair (VJF) Post Event Survey
Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts
Pre- and Post-Training Online Questions for the Representative Payee Training

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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	346,530	46,530	0	0	300,000	0
Annual Time Burden (Hours)	56,744	31,744	0	0	25,000	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $131,204

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 09/12/2014

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