Fast-Track Template

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB#: 0925-0648 Exp Date: 03/2018)
TITLE OF INFORMATION COLLECTION:
NIH Office of Intramural Training & Education (OITE) – Career Symposium Feedback
PURPOSE:
The NIH Career Symposium aims to highlight the diversity of career choices available to
biomedical researchers. Participants are exposed to a series of panels and workshops focused on
careers in academics, industry, government, patents / technology transfer, policy, and
communications. A series of Skill Blitzes designed to share tools and resources critical for a job
search are presented near the close the Career Symposium. The OITE wishes to collect feedback
from participants to ensure the information being presented meets the needs of the trainee /
student populations.
DESCRIPTION OF RESPONDENTS:
Participants of the Career Symposium are postdoctorates, clinical / research fellows, and
graduate students that are considering the next phase of their career development. Registration is
open to NIH trainees and the general public.
NIH trainees are individuals that receive support for career development from NIH in one or
more of the following areas: research support, stipend, health insurance, and/or tuition.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[X] Customer Satisfaction Survey
[ ] Small Discussion 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: Patricia Wagner, PhD [email protected]; 240-476-3619
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
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Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [X] No
ESTIMATED BURDEN HOURS and COSTS
The Hourly Wage Rate was estimated based on the NIH Trainee Stipend Tables and distribution
of the trainee type participating in the OITE events. Details about the NIH Trainee Stipend
tables may be found at: https://oma1.od.nih.gov/manualchapters/person/2300-320-7/.

No. of
Respondents
800
675
1,475

Category of Respondent
Individual (NIH Trainees)
Individual (General Public)
Totals

No. of
Responses
per
Respondent

Time per Total
Response Burden
(in hours) Hours
1
5 / 60
67
1
5 / 60
57
1,475
124

Total Burden Hourly Wage Total
Hours
Rate*
Burden Cost
67
$25.00
$1,675.00
57
$25.00
$1.425.00
124
$3,100.00

Category of Respondent
Individual (NIH Trainees)
Individual (General Public)
Totals

The NIH Federal Employee and Contractor Salaries were estimated based on the locality pay for
the DC-MD-VA-WV-PA salary table: https://www.opm.gov/policy-data-oversight/payleave/salaries-wages/salary-tables/pdf/2016/DCB.pdf.
Staff
Federal Oversight
Employee-1
Employee-2
Contractor Cost
~
Travel
Other Cost
Total Cost

Grade/Step

% of
Effort

Salary

Fringe (if
applicable)

Total Cost
to Gov’t

G14-S05
Title 42

$123,406.00
$165,000.00

0.10%
0.10%

~
~

$124.00
$165.00

~
~
~
~

~
~
~
~

~
~
~
~

~
~
~
~

~
~
~
$289.00

FEDERAL COST: The estimated annual cost to the Federal government is $289.00.
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

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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?
[X] Yes
[ ] No
If the answer is yes, please provide a description of both below (or attach the sampling plan)? If
the answer is no, please provide a description of how you plan to identify your potential group of
respondents and how you will select them?
The OITE will ask all participants of the Career Symposium to complete the feedback
form.
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
2. Will interviewers or facilitators be used? [ ] Yes [X] No

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