GenIC Request 0920-0974

GenIC Req_0920-0974_2016_EIS Conf_Cust Serv_Fdbk_Survey_subm2.docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

GenIC Request 0920-0974

OMB: 0920-0974

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-0974)

Shape1 TITLE OF INFORMATION COLLECTION: Customer Service Feedback Survey of 2016 EIS Conference


PURPOSE:

In order to work continuously to ensure that our programs are effective and meet our customers’ needs, the Centers for Disease Control and Prevention (CDC) seeks to obtain Office of Management and Budget (OMB) approval of a generic clearance to collect qualitative or routine customer feedback on our service delivery for the for the 2016 Epidemic Intelligence Service (EIS) Conference hosted from May 2-5, 2016. The EIS Conference is held on an annual basis with the primary purpose of providing a training experience of scientific presentation (oral or poster) for EIS officer. The overall EIS Conference goals are to provide an opportunity for scientific exchange around current epidemiologic issues; to highlight of the breadth of epidemiologic investigations at CDC; to provide a venue for strengthening the EIS professional network; and to provide a forum for the recruitment for CDC and state and local health departments to recruit EIS officers for EIS host assignments, EIS graduates into leadership positions, and potential applicants to the EIS training program. CDC is requesting OMB approval to collect feedback to ensure that the EIS Conference is meeting its goals and the needs of its attendees. The EIS Conference program workgroup intends to use the results of this data to improve the logistics, communication, and quality of the EIS Conference sessions when planning future conferences.



DESCRIPTION OF RESPONDENTS:

Respondents to the Customer Service Feedback Survey (Attachment 1, Survey Word and Attachment 2, Survey Screenshots) will be 2016 EIS Conference registrants. Conference registrants come from a variety of fields, some of which include local, state, and federal government employees; EIS officers; EIS alumni, researchers; healthcare providers; health educators; and policy makers. No personally identifiable information (PII) will be collected; however, should any respondents provide PII, it will not be retained.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [x] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [ ] Other: ______________________


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 of concern 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: M. Kathleen Glynn, DVM, MPVM


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [x] No

  2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [x] No

BURDEN HOURS

The feedback survey will be web-based and include 30 questions. Respondents will take approximately 10 minutes to complete the survey through the web-based Survey Monkey. The estimate for burden hours is based on results from a pilot version of this survey that volunteer CDC employee participants completed. The average time it took for volunteers to complete the survey, including reading the instructions, was approximately 10 minutes.

Approximately 2,000 people registered for the 2015 EIS Conference, and 587 registrants completed the 2015 survey. We are seeking approval to collect feedback from approximately 2,000 2016 EIS Conference registrants. We plan to encourage all participants to complete the 2016 survey to heighten their awareness of the importance to provide feedback and increase the response rate. Given 2000 respondents with a response time of 10 minutes each, the total response burden will be 333.33 hours. There will be no cost to the respondents other than their time to respond to the survey.


Category of Respondent

No. of Respondents

Participation Time

Burden

Individuals

2000

10/60

333 hours

Totals



333 hours


FEDERAL COST:

There ae no equipment or overhead costs. The average annualized cost to the Federal Government to collect this information is $1,354.40. This estimate is based on the time required for one senior CDC scientist (GS-13/14) to supervise and one CDC contractor (GS-9 equivalent) to design the survey, develop the web-based survey, implement the survey, analyze the data, and develop recommendations for improving the 2017 EIS Conference, based on survey results.

Staff or Contractor

Hours

Average Hourly Rate

Cost

Contractor: survey design, create web-based survey, implementation, analysis, and reporting (GS-9 equivalent)

40

$24.23

$969.20

FTE supervisor (GS-14): Provide oversight to the contractor and guidance on instrument development and data analysis. Provide feedback on the final report.

6

64.20

$385.20

Totals



$1,354.40



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 [x] No




Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[x] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain


The 2016 EIS Conference Customer Service Survey will be administered as a web-based survey. Flyers (Attachment 3, EIS Conference Feedback Flyer) asking conference attendees to complete the survey will be posted at the conference site and included in the 2016 EIS Conference program packet distributed to each registrant. At conclusion of the conference, an invitation email (Attachment 4, Invitation Email) with a link to the survey will be sent to all 2016 EIS Conference registrants who provided an email address. Respondents will be given 2 weeks to respond to the survey. A reminder email (Attachment 5, Reminder Email) will be sent twice: one at the beginning of week 2 and one on the day that the survey closes. Respondents will have to complete the survey in one sitting. Respondents cannot return to edit or complete the survey and the survey does not track individual responses.


  1. Will interviewers or facilitators be used? [ ] Yes [x] No


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2021-01-29

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