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

Forms and Documents

Document Name	Status
0704-0553_SSA_3.28.22.docx Supporting Statement A	2022-03-28
0704-0553_SSB_3.9.22.docx Supporting Statement B	2022-03-17

IC Document Collections

IC ID	Document Title	Status
253251	IPPS-A Customer Support Survey Other-Web Survey	New
253234	CDSE eLearning End-of-Course Feedback Survey Other-Web Survey	New
253232	CDSE Webinar Feedback Survey Other-Web Survey	New
253231	CDSE VILT End-of-Class Feedback Survey Other-Web Survey	New
253227	CDSE ILT End-of-Class Feedback Survey Other-Web Survey	New
253214	DoD Hearing Center of Excellence JHASIR Training Survey Other-Survey	New
253212	DoD Hearing Center of Excellence Customer Satisfaction Survey Other-Survey	New
253211	DoDEA Customer Satisfaction Survey - Teachers Other-Survey	New
253210	DoDEA Customer Satisfaction Survey - Parent/Sponsor Other-Survey	New
253208	Counseling on Access to Lethal Means (CALM) Annual Survey Other-Survey	New
253198	Regulations Team Training Course Feedback Survey Other-Survey	New
253197	DoD Office of Information Management Post-Webinar Survey Other-Survey	New
253196	DoD Issuance Online Training Feedback Other-Survey	New
253195	TRICARE Award Fee Provider Survey Other-Survey	New
253194	Clinical Support Tools Feedback Survey Other-Survey	New
253193	Military Health System Electronic Health Record End User Survey Other-Survey	New
253192	DP3 Foundational Course Student Survey Other-Survey	New
253191	Office of Military Commissions Pulse Survey Privileged Attorney Communication/Work Product Other-Survey	New
253190	AFN Now Satisfaction Surveys Other-Survey	New
253189	Executive Health Services Feedback Survey Other-Survey	New
253188	Pharmacy Program Satisfaction Survey Other-Survey	New

ICR Details

OMB Control No: 0704-0553	ICR Reference No: 202203-0704-006
Status: Received in OIRA	Previous ICR Reference No: 201909-0704-011
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/29/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	1,200,000	1,200,000
Time Burden (Hours)	300,000	300,000
Cost Burden (Dollars)	8,268,000	8,268,000

---

Abstract: Executive Order 12862 directs Federal agencies to provide service to the public that matches or exceeds the best service available in the private sector. In order to work continuously to ensure that our programs are effective and meet our customers’ needs, the Department of Defense (hereafter “the Agency”) seeks to obtain OMB approval of a generic clearance to collect qualitative feedback on our service delivery. By qualitative feedback we mean information that provides useful insights on perceptions and opinions, but are not statistical surveys that yield quantitative results that can be generalized to the population of study.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 67453	11/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 17280	03/28/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 0

---

ICR Summary of Burden

	Total Request	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	1,200,000	1,200,000	0	0	0	0
Annual Time Burden (Hours)	300,000	300,000	0	0	0	0
Annual Cost Burden (Dollars)	8,268,000	8,268,000	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:

---

Annual Cost to Federal Government: $741,472

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

---

Common Form ICR:  No

---

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: 03/29/2022

---