Gen-Sub-Study-Form_21FEB2014

Gen-Sub-Study-Form_21FEB2014.doc

Questionnaire Cognitive Interviewing and Pretesting (NCI)

Gen-Sub-Study-Form_21FEB2014

OMB: 0925-0589

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GENERIC SUB-STUDY SUBMISSION – 0925-0589


DATE OF REQUEST: February 21, 2014


SUB AGENCY (I/C): NIH/NCI/DCTD and DCCPS


TITLE OF SUB-STUDY: Requirement Gathering for a Biobank Economic Modeling Tool (BEMT)


GENERIC CLEARANCE UNDER OMB #0925-0589 EXP. DATE: 4/30/2014

TOTAL BURDEN APPROVED: 6000 hours

BURDEN APPROVED TO DATE: 453 hours

BURDEN FOR THIS REQUEST: 752 hours


ABSTRACT:

This ARRA-funded formative project involves pre-testing related activities to refine the software that runs the web-based Biobank Economic Modeling Tool (BEMT). BEMT is a novel web-based tool designed to assist biobanks around the world with searchable information about infrastructure costs, funding requirements, specimen costs and price, and service costs and price. Feedback from potential users is needed to assist in refining the software, to be obtained via the proposed survey. Responses will provide data that guide the placement of questions, as well as the range of responses. Specific questions that support the interactive calculations are related to demographics, geographic location, operating model and facility/organizational footprint, and cost recovery adherence. Post survey, a debriefing will be performed with a small sampling of respondents to clarify their responses and conduct a brief cognitive interview. Specifically, this interview will allow us to obtain feedback related to the length and content of the questions and responses, to evaluate the degree of difficulty, relevance of the information asked and perceived value of the survey.

IS RACE AND ETHNICITY DATA COLLECTED?

YES ___X_NO_______N/A


IS PERSONALLY IDENTIFIABLE INFORMATION (PII) BEING COLLECTED?

X YES _____NO_______N/A

OBLIGATION TO RESPOND:

X VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY


TYPE OF COLLECTION/RESEARCH?

CUSTOMER SATISFACTION

_____ USABILITY TESTING

_____FOCUS GROUPS

__X _PRETESTING

__X__FORMATIVE RESEARCH

_____QUESTIONNAIRE DEVELOPMENT

_____APPLICATION

_____PROGRAM MONITORING

_____ OTHER: _________________________

HOW WILL THIS SURVEY BE OFFERED?

X WEB SITE

_ X__ TELEPHONE INTERVIEW (limited size follow-up)

_____ MAIL RESPONSE

_____ IN PERSON INTERVIEW

_____ OTHER: _________________________


CONTACT INFORMATION:

NAME: Helen Moore

TELEPHONE NUMBER: 240.276.5713

EMAIL ADDRESS: [email protected]



File Typeapplication/msword
File TitleSUBMISSION OF INFORMATION COLLECTION
AuthorNina Goodman, MHS
Last Modified ByLmiranda
File Modified2014-02-21
File Created2014-02-21

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