2434ss24 ToxCast Justification

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2010-0042)

Title of Information Collection:

ToxCast^TM Phase II Event Survey

Purpose:

The purpose of this survey is to collect information from workshop participants about their understanding, use, and accessibility of the National Center for Computational Toxicology’s new chemical data and dashboard from the ToxCast^TM effort, before and after attending the workshop.

Type of Collection:

Customer Satisfaction 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 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 ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______Monica Linnenbrink___________________

To assist with review, please provide answers to the following questions:

1. Is personally identifiable information (PII) collected? NO

2. If yes, is the information that will be collected included in the records that are subject to the Privacy Act o f 1974? N/A

3. If applicable, has a system or Records Notice been published? NO (N/A)

Gifts or Payments

Is an incentive (e.g. money or reimbursement of expenses, token of appreciation) provided to participants? NO

Burden Hours:

Category of Respondent	No. of Respondent	Participation Time	Burden
Private Sector	45	15	11.25 h
State, local, or tribal governments	55	15	13.75 h
NGOs	40	15	10h
Totals	140	15	35h

Federal Cost:

After data collection, there will be some processing and analysis of the data for which would take approximately 16 hours, and would be an estimated annual cost to the Federal government of $480.

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? YES

If the answer is yes, please provide a description of both below (or attach the sampling plan)?

Yes, we have a registration list with all workshop attendees. All attendees will be encouraged to take the survey.

Administration of the instrument

1. How will you collect the information?

In-person

2. Will interviewers or facilitators be used? NO