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pdfRequest for Approval under the “Fast Track Generic Clearance for
the Collection” (OMB Control Number: 0704-0553)
TITLE OF INFORMATION COLLECTION: Mark Center Transportation Management Plan
Employee Survey
PURPOSE: This survey will be used to determine the modes of transportation used by the
employees of the Mark Center and the frequency of the trips. Responses from employees on their
mode of transportation will be used to prepare the new version of the Mark Center Transportation
Management Plan. A link to complete the online survey will be sent via email to respondents
inviting them to participate.
DESCRIPTION OF RESPONDENTS: Any DoD employees that work at the Mark Center. This
can include contractors, military and civilian personnel.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software)
[ ] Focus Group
[ ] Customer Satisfaction Survey
[ ] Small Discussion Group
[X] Other: Feedback survey
CERTIFICATION:
I certify the following to be true:
1. The collection is voluntary.
2. The collection is low-burden for respondents and low-cost for the Federal Government.
3. The collection is non-controversial and does not raise issues of concern to other federal
agencies.
4. The results are not intended to be disseminated to the public.
5. Information gathered will not be used for the purpose of substantially informing influential
policy decisions.
6. The collection is targeted to the solicitation of opinions from respondents who have
experience with the program or may have experience with the program in the future.
Name: Cameron DeLancey WHS/FSD/ECM/EAD (COR), Installation Master Planning
cameron.d.delancey.civ@mail.mil
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [ ] Yes [X] No
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [ ] No
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ]
No
Gifts or Payments:
1
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [X] No
BURDEN HOURS
Category of Respondent
Individuals or Households
No. of
Respondents
600
Participa Burden
tion Time
40 hrs
4 mins
Totals
600
4 mins
40 hrs
PUBLIC COST: The estimated annual cost to the public is $2,240.00
*DoD average hourly rate in Washington D.C. taken on 07/26/2022 from
https://www.ziprecruiter.com/Salaries/Dod-Salary-in-Washington,DC
If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions:
The selection of your targeted respondents
1. Do you have a customer list or something similar that defines the universe of potential
respondents and do you have a sampling plan for selecting from this universe?
[X] Yes
[ ] No
If the answer is yes, please provide a description of both below (or attach the sampling plan). If
the answer is no, please provide a description of how you plan to identify your potential group of
respondents and how you will select them.
The emailing list for Mark Center employees and contractors is the pool of potential responders.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media (Email will go to respondents containing a
link to the web-based survey)
[ ] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain
2. Will interviewers or facilitators be used? [ ] Yes [X] No
2
File Type | application/pdf |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 2022-08-26 |
File Created | 2022-08-22 |