View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View Generic ICR - OIRA Conclusion

OMB Control No: 0704-0420	ICR Reference No: 202309-0704-001
Status: Historical Active	Previous ICR Reference No: 202103-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/05/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/05/2023
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) provide a generic submission template for each instrument (unless the agency is using multiple modes of collection e.g. paper forms and electronic submissions); 2) each submission template must be uploaded as a supplementary document using a naming convention that allows the public to identify the associated instrument; 3) submit no more than five generic submission templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2024	04/30/2024	04/30/2024
Responses	80,652	0	80,652
Time Burden (Hours)	4,033	0	4,033
Cost Burden (Dollars)	82,507	0	82,507

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	80,652	80,652
Annual Time Burden (Hours)	4,033	4,033
Annual Cost Burden (Dollars)	82,507	82,507

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: There is a decrease in respondent burden due to a decrease in participation from public respondents.

Annual Cost to Federal Government: $495,471

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

Agency Contact: Nicholas Schuff 757 817-7203 nicholas.a.schuff.ctr@mail.mil