Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys(NLM)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Early Independence Award Program (EIA) Customer Satisfaction Surveys	Form and Instruction	New	Available
Form 1 Hazardous Substances Database (HSDB) Needs Assessment	Form and Instruction	New	Available
Form 2 Host Institutions/Applicants	Form and Instruction	New	Available
Form 1 NLM CervigramFinder and Boundary Marking Tool	Form and Instruction	New	Available
Supporting Statement B_NLM Generic ICR_06-01-2009.docx	Supporting Statement B	Uploaded 2009-06-01	Available
SS Attachment 2_ NLM Survey Instrument.pdf	Supplementary Document	Uploaded 2009-06-03	Available
SS Attachment 3_Proposed NLM 2009-2102 Survey Chart.pdf	Supplementary Document	Uploaded 2009-06-03	Available
Supporting Statement A_NLM Generic ICR_06-01-2009.docx	Supporting Statement A	Uploaded 2009-06-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201763	Early Independence Award Program (EIA) Customer Satisfaction Surveys	Form and Instruction	New
201530	Hazardous Substances Database (HSDB) Needs Assessment	Form and Instruction	New
197153	Host Institutions/Applicants	Form and Instruction	New
192102	NLM CervigramFinder and Boundary Marking Tool	Form and Instruction	New

ICR Details

OMB Control No: 0925-0476	ICR Reference No: 200906-0925-004
Status: Historical Active	Previous ICR Reference No: 200810-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys(NLM)
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 without change	Conclusion Date: 06/24/2009
	Date Received in OIRA: 06/11/2009
Terms of Clearance: Approved consistent with previous terms of clearance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	36 Months From Approved	07/31/2009
Responses	27,910	0	19,758
Time Burden (Hours)	3,600	0	2,680
Cost Burden (Dollars)	0	0	0

---

Abstract: Executive Order 12862 directs Federal Agencies to survey customers to determine the kind and quality of services they want. NLM is requesting extension of OMB approval for generic clearance to conduct a number of customer/partner satisfaction surveys. NLM will collect and use information gathered through customer and/or partner surveys to identify strengths and weaknesses in current service provisions and to make improvements that are practical and feasible.

---

Authorizing Statute(s): US Code: 42 USC 286 Name of Law: Public Health Services 42 C.F.R. PART 4--National Library of Medicine
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 14137	03/30/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 27143	06/08/2009
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Early Independence Award Program (EIA) Customer Satisfaction Surveys	1, 2, 3, 4	Host Institutions ,   Applicants ,   Editorial Board ,   Finalists
NLM CervigramFinder and Boundary Marking Tool	1	survey
Host Institutions/Applicants	2, 1	Applicants ,   Host
Hazardous Substances Database (HSDB) Needs Assessment	1	Survey

---

ICR Summary of Burden

table that charts list 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	27,910	19,758	0	0	8,152	0
Annual Time Burden (Hours)	3,600	2,680	0	0	920	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:

---

Annual Cost to Federal Government: $36,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 06/11/2009

---