FINAL Mini Support Statement for Survey for Host Institutions 03-04-2011 OMB

FINAL Mini Support Statement for Survey for Host Institutions 03-04-2011 OMB.docx

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

FINAL Mini Support Statement for Survey for Host Institutions 03-04-2011 OMB

OMB: 0925-0476

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Mini Supporting Statement

Customer Satisfaction Survey for Host Institutions


Section A


A.1 Circumstances Requiring the Collection of Data

This survey will help fulfill the requirements of:

  • Executive Order 12862, “Setting Customer Service Standards,” which directs Agencies to continually reform their management practices and operations to provide service to the public that matches or exceeds the best service available in the private sector; and

  • The March 3, 1998 White House Memorandum, “Conducting Conversations with America to Further Improve Customer Service,” which directs Agencies to determine the kind and quality of service its customers want as well as their level of satisfaction with existing services.


A.2 Purposes and Uses of the Data

The survey data will help determine customers’ satisfaction with various components of the Early Independence Award (EIA) program. It will also indicate areas for improvement.


A.3 Use of Information Technology to Reduce Burden

As appropriate, automated information technology will be used to collect and process information for this survey to reduce the burden on the public. The survey will be conducted online to ensure accessibility, security, and confidentiality. Other modes of responses (e.g., E-mail, fax) will be accepted if requested.


A.4 Efforts to Identify Duplication

Users will be asked to complete the survey only once.


A.5. Small Business

N/A


A.6 Consequences of Not Collecting the Information

The customer satisfaction survey will be conducted this year. This is the pilot year of the program and several experimental aspects have been incorporated. The survey is considered appropriate to identify gaps and barriers and improve the request for applications next year. If the survey is not conducted, the EIA program will not be adapted to meet the host institution’s needs and the satisfaction with existing components will not be ascertained.


A.7. Special Circumstances Justifying Inconsistencies with Guidelines in 5 C.F.R. 1320.5

This survey will be implemented in a manner that fully complies with 5 C.F.R. 1320.5.


A.8. Consultation Outside the Agency

N/A


A.9. Payments or Gifts to Respondents

No payment or gift will be provided to survey participants.


A.10. Assurance of Confidentiality

Individual respondents will not be identified and participation will be strictly voluntary. Respondents will be assured that neither their participation/non-participation nor any responses to items will have any effect on their eligibility for or receipt of grants, contracts, or services.


A.11 Questions of a Sensitive Nature

No questions will be asked of a personal or sensitive nature.


A.12 Estimates of Response of Burden


Estimates of Annual Hours Burden


Types of Respondents

Number of Respondents

Frequency of Response

Average Response Time

Annual Hour Burden

Officials of Host Institutions (applicants of the Early Independence Award Program)


81


1


15 min


20.25 hrs (1215 min)


Annualized Cost to Respondents


Types of Respondents

Number of Respondents

Frequency of Response

Hourly Wage Rate

Respondent Cost

Officials of Host Institutions (applicants of the Early Independence Award Program)


81


1


$35.00


$708.75



A.13. Estimate of Total Capital and Startup Costs/Operation and Maintenance Costs to Respondents or Record Keepers

N/A


A.14. Estimates of Costs to the Federal Government

Cost to the Federal government for the Customer Satisfaction Survey includes $2,200 for the development of a web-based survey.


A.15. Changes in Burden

N/A


A.16. Plans for Publication, analysis and Schedule

Responses will be tabulated after the completion of the survey. Findings will be published in a report for the NIH Common Fund staff and scientific community within a timely fashion to contribute to the improvement of the Early Independence Award program and the development of future initiatives.


A.17. Approval to Not Display Expiration Date

We are not requesting an exemption to the display of the OMB Expiration date.

A.18 Exceptions to Item 19 of OMB form 83-I

These surveys will comply with the requirements in 5 CFR 1320.9.


Section B


B.1. Respondent Universe and Sampling Methods

The customer satisfaction survey was created to obtain information from officials of host institutions, applicants of the Early Independence Award program. The results of the survey will be used to assess officials of host institutions’ satisfaction with various components of the program.


There are 81 individuals in the target population. Given the small size, a census is preferred because it may provide higher quality information with little cost difference from a sample survey of a slightly smaller number of individuals.


B.2. Information Collection Procedures/Limitations of the Study

The customer satisfaction survey will collect all information in a manner that is consistent with the following principles:


  • Participation will be fully voluntary, and non-participation will have no impact on eligibility for or receipt of future grants, contracts, or services.


  • Collected information will be limited to that which is needed to assess user satisfaction.


B.3. Methods for Maximizing the Response Rate and Addressing Issues of Nonresponse

Consistent with sound survey methodology, the design of the survey will include approaches to maximize response rates, while retaining the voluntary nature of the effort.


B.4. Tests of Procedures of Methods

All pre-testing will be carried out at a level and in a manner consistent with the specific survey.


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