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

ICR 201512-0704-005

OMB: 0704-0552

Federal Form Document

ICR Details
0704-0552 201512-0704-005
Historical Active
DOD/DODDEP
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/18/2016
Retrieve Notice of Action (NOA) 12/18/2015
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved
10,000 0 0
1,667 0 0
37,240 0 0

The mission of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) is to improve the lives of our nation's service members, veterans and their families by advancing excellence in psychological health and traumatic brain injury prevention and care. DCoE is requesting a fast track generic clearance to obtain feedback from these audiences as well as military treatment providers regarding DCoE's clinical and educational products and services. The information will be utilized to inform product improvement, utilization, impact and to identify gaps in product offerings to better meet stakeholders' needs.

PL: Pub.L. 110 - 181 NDAA for FY 2008 Name of Law: null
   EO: EO 12862 Name/Subject of EO: null
  
None

Not associated with rulemaking

  79 FR 71404 12/02/2014
80 FR 79032 12/18/2015
No

1
IC Title Form No. Form Name
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

  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 10,000 0 0 10,000 0 0
Annual Time Burden (Hours) 1,667 0 0 1,667 0 0
Annual Cost Burden (Dollars) 37,240 0 0 37,240 0 0
Yes
Miscellaneous Actions
No
This is new fast track generic.

$41,350
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Frederick Licari 571 372-0493 frederick.c.licari.civ@mail.mil

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/18/2015


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