OVC TTAC Feedback form package

Forms and Documents

Document Name	Status
Scholarship Event Feedback - Organizational Scholarship Form	New
VictimLaw Survey Form	New
Training by Request Participant Feedback form Form	New
Scholarship Applicant Feedback - Professional Development Scholarship form Form	New
Requester Feedback form Form	New
Online Training form Form	New
NVAA Supervisor Feedback form Form	New
NVAA Instructor Feedback form Form	New
Materials Feedback form Form	New
Focus Group Protocol Form	New
Future Training and Technical Assistance Needs Form	Modified
Pilot Training Feedback form Form	Modified
Webinar Participant Feedback form Form	Modified
Web Site Feedback form Form	Modified
Call Center Feedback Form	Modified
Work Plan Request/Intensive TA Participant Feedback form Form	Modified
Conference Support Applicant Feedback form Form	Removed
Scholarship Applicant feedback form - Organizational Scholarship/Conference Support Form	Modified
Participant Followup form Form	Modified
Customized TTA Participant Feedback form Form	Modified
Standard Training Participant Feedback form Form	Removed
Training by Request Post-Training Assessments Form	Modified
Training by Request Pre-Training Assessment Form	Modified
Standard Training Consultant Feedback and Customized TTA Consult Feedback forms Form	Removed
Consultant Feedback Form	Modified
2015OMB_SupportingStatement.docx Supporting Statement A	2016-03-08
2012OMB_Legislative Authority.doc Supplementary Document	2013-02-06

IC Document Collections

IC ID	Document Title	Status
220527	Scholarship Event Feedback - Organizational Scholarship Form	New
220523	VictimLaw Survey Form	New
220522	Training by Request Participant Feedback form Form	New
220520	Scholarship Applicant Feedback - Professional Development Scholarship form Form	New
220508	Requester Feedback form Form	New
220506	Online Training form Form	New
220505	NVAA Supervisor Feedback form Form	New
220504	NVAA Instructor Feedback form Form	New
220503	Materials Feedback form Form	New
220500	Focus Group Protocol Form	New
205709	Future Training and Technical Assistance Needs Form	Modified
205708	Pilot Training Feedback form Form	Modified
205707	Webinar Participant Feedback form Form	Modified
205706	Web Site Feedback form Form	Modified
205705	Call Center Feedback Form	Modified
205703	Work Plan Request/Intensive TA Participant Feedback form Form	Modified
205702	Conference Support Applicant Feedback form Form	Removed
205701	Scholarship Applicant feedback form - Organizational Scholarship/Conference Support Form	Modified
205646	Participant Followup form Form	Modified
205644	Customized TTA Participant Feedback form Form	Modified
205643	Standard Training Participant Feedback form Form	Removed
205642	Training by Request Post-Training Assessments Form	Modified
205641	Training by Request Pre-Training Assessment Form	Modified
205640	Standard Training Consultant Feedback and Customized TTA Consult Feedback forms Form	Removed
205639	Consultant Feedback Form	Modified

ICR Details

OMB Control No: 1121-0341	ICR Reference No: 201510-1121-002
Status: Historical Active	Previous ICR Reference No: 201301-1121-004
Agency/Subagency: DOJ/OJP	Agency Tracking No: OVC
Title: OVC TTAC Feedback form package
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: 07/05/2016
	Date Received in OIRA: 03/30/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved	07/31/2016
Responses	26,009	0	11,120
Time Burden (Hours)	4,808	0	1,730
Cost Burden (Dollars)	90,251	0	37,732

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Abstract: This collection would obtain information from OVC technical assistance recipients about their satisfaction with the assistance, their perception of the usefulness of the assistance, and their feedback about how such assistance can be improved. This information will be used by OVC for monitoring how well the assistance meets the needs of the victim services field, and for improving such assistance. This action will combine 2 previously approved collections (1121-0336 and 1121-0342) together with 1121-0341 to collect similar information.

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Authorizing Statute(s): PL: Pub.L. 98 - 473 10601 Name of Law: Victims of Crime Act
  

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:
	80 FR 61471	10/23/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 79100	12/18/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 22

IC Title	Form No.	Form Name
Call Center Feedback	none	Call Center Feedback
Web Site Feedback form	none	Web Site Feedback form
Webinar Participant Feedback form	none	Webinar Participant feedback form
Pilot Training Feedback form	none	Pilot Training Feedback form
Future Training and Technical Assistance Needs	none	Future Training and Technical Assistance Needs
Consultant Feedback	none	Consultant Feedback
Training by Request Pre-Training Assessment	none	Standard Training Pre-training
NVAA Instructor Feedback form	none	The NVAA Instructor Feedback form
NVAA Supervisor Feedback form	none	NVAA Supervisor Feedback form
Training by Request Post-Training Assessments	none	Standard Training Post-training assessments
Customized TTA Participant Feedback form	none	Customized TTA Participant Feedback form
Participant Followup form	none	The Participant Followup form
Scholarship Applicant feedback form - Organizational Scholarship/Conference Support	none	Scholarship Applicant feedback - Organizational Scholarship/Conference Support
Work Plan Request/Intensive TA Participant Feedback form	none	Work Plan participant Feedback form
Scholarship Event Feedback - Organizational Scholarship	none	Scholarship Event Feedback
Standard Training Consultant Feedback and Customized TTA Consult Feedback forms	none, none	Standard Training Consultant Feedback form ,   Customized TTA Consult Feedback form
Conference Support Applicant Feedback form	none	Conference Support Applicant Feedback form
Materials Feedback form	none	The Materials Feedback form
Online Training form	none	Online Training form
Scholarship Applicant Feedback - Professional Development Scholarship form	none	Scholarship Applicant Feedback - Professional Development Scholarship form
VictimLaw Survey	none	VictimLaw Survey
Focus Group Protocol	none	The Focus Group Protocol
Requester Feedback form	none	Requester Feedback form
Training by Request Participant Feedback form	none	Training by Request Participant Feedback form
Standard Training Participant Feedback form	none	Stand Training Participant Feedback form

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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	26,009	11,120	0	14,889	0	0
Annual Time Burden (Hours)	4,808	1,730	0	3,078	0	0
Annual Cost Burden (Dollars)	90,251	37,732	0	52,519	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Changing Forms

Short Statement: Form changes include reducing the number of questions on each form and combining some forms.

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Annual Cost to Federal Government: $225,592

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: 03/30/2016

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