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

Forms and Documents

Document Name	Status
0090-0379-60-day FRN.docx Supplementary Document	2020-07-10
2020-14595.pdf Supplementary Document	2020-07-10
0990-0379 Change Request_DKC.doc Justification for No Material/Nonsubstantive Change	2015-03-03
0990-0379_B.docx Supporting Statement B	2014-07-02
0990-0379_Father Generic8-11-20.docx Supporting Statement A	2020-08-11
Generic Clearance Submission Template.docx Supplementary Document	2011-06-14

IC Document Collections

IC ID	Document Title	Status
244597	Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance: Satisfaction Survey for Group TA Activities Other-survey and instructions	New
244596	Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance Product Satisfaction Feedback Survey Other-survey and instructions	New
244370	User feedback for the Benefit Cliff Calculator Other-Survey	New
244171	www.medicalcountermeasures.gov customer site feedback form Other-question	New
243723	Office of Population Affairs (OPA) Training and Technical Assistance (T/TA) Satisfaction Survey Other-survey and instructions	New
243333	ADVANCING THE RESPONSE TO COVID-19: SHARING PROMISING PROGRAMS AND PRACTICES FOR RACIAL AND ETHNIC MINORITY COMMUNITIES VIRTUAL SYMPOSIUM WEBINAR ASSESSMENT Other-Survey	New
243178	Office of Population Affairs (OPA) Title X Family Planning Annual Reporting (FPAR) 2.0 Grantee Readiness Survey Other-survey and script	New

ICR Details

OMB Control No: 0990-0379	ICR Reference No: 202007-0990-001
Status: Active	Previous ICR Reference No: 201708-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/12/2020
	Date Received in OIRA: 07/13/2020
Terms of Clearance: 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
Expiration Date	08/31/2023	36 Months From Approved	09/30/2020
Responses	420,000	0	3,000,000
Time Burden (Hours)	70,000	0	500,000
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable HHS 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 will help ensure that users have an effective, efficient, and satisfying experience with HHS programs.

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

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:
	85 FR 26485	05/04/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 41056	07/08/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Office of Population Affairs (OPA) Training and Technical Assistance (T/TA) Satisfaction Survey
www.medicalcountermeasures.gov customer site feedback form
Office of Population Affairs (OPA) Title X Family Planning Annual Reporting (FPAR) 2.0 Grantee Readiness Survey
ADVANCING THE RESPONSE TO COVID-19: SHARING PROMISING PROGRAMS AND PRACTICES FOR RACIAL AND ETHNIC MINORITY COMMUNITIES VIRTUAL SYMPOSIUM WEBINAR ASSESSMENT
Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance: Satisfaction Survey for Group TA Activities
User feedback for the Benefit Cliff Calculator
Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance Product Satisfaction Feedback 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	420,000	3,000,000	0	0	-2,580,000	0
Annual Time Burden (Hours)	70,000	500,000	0	0	-430,000	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: $300,000

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

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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: 07/13/2020

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