Health Resources and Services Administration
SUPPORTING STATEMENT
HRSA Maternal and Child Health Bureau (MCHB) Title V Information System User Satisfaction Survey
A. Justification
1. Circumstances of Information Collection
This is a request for OMB approval of a qualitative voluntary customer satisfaction survey under HRSA’s generic clearance. HRSA’s Maternal and Child Health Bureau (MCHB) will obtain feedback from users of the newly redeveloped Title V Information System (TVIS) that is used by state/jurisdictional Title V MCH Block Grantees to submit their financial, program, and performance data to HRSA.
Executive Order 12862 directs agencies that "provide significant services directly to the public" to "survey customers to determine the kind and quality of services they want and their level of satisfaction with existing services". The objectives of the proposed TVIS customer/user satisfaction survey are two-fold: (1) to collect operational performance data in order to establish and internally report results-specific metrics that measure the effectiveness of the system in delivering the desired service quality and (2) obtain meaningful data that can be analyzed by HRSA/MCHB annually to inform future enhancements to the system.
2. Purpose and Use of the Information
Relative to the development of a new information system, customer/user satisfaction surveys can serve as important vehicles for gaining feedback from users. Given that the TVIS serves as the portal for states/jurisdictions in preparing and submitting an Application/Annual Report for receipt of Federal Title V MCH Block Grant funds, delivery of a positive customer/user experience is a priority. Success is ultimately determined by state/jurisdictional ability to submit the required Application/Annual Report using an electronic system that aligns with the requirements specified in the Application/Annual Report Guidance, as well as the ease of use of the system. The annual tracking of customer/user (states/jurisdictions) experiences will serve to inform efforts for continuous quality improvement and enhanced TVIS user experience, as well as meeting internal HRSA IT Investment performance reporting requirements. Findings will only be used for internal service improvement and will not be generalized to the public. There are no plans for publication of any survey results.
The information to be collected electronically via an on-line survey tool (i.e. Survey Monkey) will assess customer/user satisfaction (i.e., state/jurisdictional satisfaction) with the design and performance of the new TVIS data system. In addition, the data collected will enable the HRSA/MCHB to begin compiling historical trend data that will facilitate ongoing monitoring of its product (i.e., TVIS) as well as the technical support that was provided.
The target population for the TVIS survey will be state/jurisdictional users. Completion of the survey will be optional. Responses will be submitted anonymously, and there will be no impact on the status of a state’s/jurisdiction’s Application/Annual Report.
The survey will include questions regarding availability, ease of use, capabilities, reliability, predictability, adequacy of training and overall satisfaction of the system, as well as any general feedback of the system. A copy of screen shots of the draft survey instrument is attached.
Engaging state/jurisdictional partners and soliciting their feedback relative to the development and release of a new TVIS data entry system is consistent and supportive of the current program administrative structure. The Title V MCH Block Grant Services program is administered as a Federal-State partnership.
3. Use of Improved Information Technology
The survey will solely employ information technology (i.e., SurveyMonkey) in order to reduce the burden on the respondents.
4. Efforts to Avoid Duplication
The survey has been reviewed carefully to avoid potential duplication. The proposed survey is unique to this activity and the information is not found elsewhere.
5. Involvement of Small Entities
No small businesses will be involved in this study.
6. Consequences if Information Collected Less Frequently
The survey is proposed to be conducted annually following annual submittal by the state/jurisdiction of their Title V MCH Block Grant application/annual report in TVIS. If this information is not collected annually, then the Program will be: (1) unable to establish and report internally to HRSA a results-specific metric that measure the effectiveness of the system in delivering the desired service quality and (2) inhibited in obtaining meaningful data that can be analyzed by HRSA/MCHB annually to inform future enhancements to the system.
7. Consistency With the Guidelines in 5 CFR 1320.5(d)(2)
These surveys will be implemented in a manner fully consistent with 5 CFR 1320.5(d)(2).
8. Consultation Outside the Agency
In accordance with 5 CFR 1320.8(d), on April 24, 2009, a 30 day notice was published in the Federal Register for HRSA’s generic clearance, OMB Control No. 0915-0212 (Vol. 74, Page 18726). No public comments were received.
9. Remuneration of Respondents
Not Applicable.
10. Assurance of Confidentiality
To date, the HRSA customer satisfaction surveys have not collected personally identifiable information from respondents. This collection of information will not include any personally identifiable information (PII). Participation is fully voluntary and responses are anonymous.
11. Questions of a Sensitive Nature
The survey does not contain questions of a sensitive nature.
12. Estimates of Annualized Hour Burden
Respondents
This survey will target State Title V program staff who have assigned responsibility for working on the State’s MCH Block Grant Application/Annual Report in the new TVIS data entry system. Completion of the survey is optional, so the number of State users who will choose to respond to the survey is unknown. It is estimated that up to three users from each of the 59 states/jurisdictions will complete the customer satisfaction survey on behalf of the State Title V MCH Block Grant program.
Annual burden estimates
The total respondent burden for the SurveyMonkey user satisfaction survey is estimated to be 29.56 30.09 hours. We expect a total of 177 respondents to participate in the TVIS Survey based on an average of 3 respondents from each of the 59 states/jurisdictions.
Type of Collection |
Number of Respondents |
Responses per Respondent |
Total Responses |
Hours per Respondent |
Total Burden Hours |
Wage Rate |
Total Hour Cost |
TVIS Customer Satisfaction Survey via SurveyMonkey |
177 |
1 |
177 |
0.17 |
30.09 |
$48.72/hr |
$1,465.98 |
Total |
177 |
1 |
177 |
0.17 |
30.09 |
|
$1,465.98 |
Planned frequency of information collection
This is information collection is planned to occur annually for 3 years.
13. Estimates of Annualized Cost Burden to Respondents
The only associated cost to respondents is their time to provide the requested information.
14. Estimates of Annualized Cost to the Government
The survey will be implemented by an MCHB staff member via SurveyMonkey. The estimated annual cost to the government is $2,674 which includes 40 hours of a GS-14 staff person’s time.
15. Change in Burden
Not Applicable. This is a new activity under HRSA’s generic clearance and will be included in the total burden currently approved by OMB under OMB Control No. 0915-0212.
16. Plans for Analysis and Timetable of Key Activities
The survey will be conducted in a period of 4 weeks. SurveyMonkey will enable MCHB staff to quickly examine and summarize the survey results. Narrative information from the surveys will be summarized and examined using descriptive analysis. Findings will be used to report IT Investment performance results to internal HRSA staff and inform future enhancements in the system. Findings will only be used for internal service improvement and will not be generalized to the public. There are no plans for publication of any survey results.
17. Exemption for Display of Expiration Date
No exemption is being requested. The expiration date will be displayed.
18. Certifications
This information collection activity will comply with the requirements in 5 CFR 1320.9.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | GENERIC - Good Supporting Statement Example |
| Author | Jodi.Duckhorn |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |