Notice of Award -- Proof of Concept Test

Form Approved

OMB No. 4040-0017

Exp. Date 03/31/2019

HHS DATA Act Program Management Office (DAP)

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Notice of Award – Proof of Concept Questionnaire

Demographics

1. Name: _______________________

2. Email: _________________________

3. Organization Name: ________________________

4. Position/Role: ________________________

5. Department/Unit: ________________________

6. Department/Unit Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

7. Organization Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

8. Which type of entity do you represent?

State/Local Government	Non-Governmental Organization (NGO)	University / Higher Education Institution	Other
For Profit Organization	Non-Profit Organization	Native American Tribe

8a. If you answered “Other” to question 8, please specify which type of entity you represent

___________________________________

9. Did your organization receive Federal awards from multiple awarding agencies in the most recent fiscal year?
   
   
   

Yes

No

Unsure

Survey

Please circle the answer that reflects your opinions as accurately as possible

1. To what extent would the standardization of the Notice of Award (NOA) Cover Sheet affect ease of collecting information across awards?

Significantly Easier

Somewhat Easier

Cannot Assess

Does not Affect Ease of Collection

Somewhat More Difficult

Significantly More Difficult

2. To what extent would the standardization of the NOA affect your organization’s burden associated with Federal award reporting?

Significantly Reduces Burden

Somewhat Reduces Burden

Cannot Assess

Does not Increase nor Reduce Burden

Somewhat Increases Burden

Significantly Increases Burden

3. To what extent would the standardization of the NOA affect the accuracy with which data is captured from NOAs?

Significantly More Accurate

Somewhat More Accurate

Cannot Assess

Does not Increase nor Reduce Accuracy

Somewhat Less Accurate

Significantly Less Accurate

4. How likely is it that the standardization of the NOA would allow your organization to engage in more advanced or automated mechanisms for collecting grant award information?

Very Likely

Somewhat Likely

Cannot Assess

No Impact

Somewhat Unlikely

Significantly Unlikely

Please circle the best answer for the following questions

5. ­­­How would the standardization of the NOA affect burden associated with Federal award reporting?
   
   
   

Decrease Burden

No Change in Burden

Increase Burden

6. How would the standardization of the NOA affect the accuracy with which data is captured from NOAs?

Decrease Accuracy

No Change in Accuracy

Increase Accuracy

Please provide a brief written response

7. Do you believe that a standardized NOA would affect your organization’s data collection processes or change reporting efficiencies?

8. If you answered yes to the question above, please estimate how the use of a standardized NOA would affect the time you spend reporting (in minutes) for all awards received in a given fiscal year.

_____________ Minutes saved with standardized NOA (estimate)

OR

_______________ Additional minutes spent with standardized NOA (estimate)

9. In your own words, please provide any additional recommendations you believe would make the NOA Cover Sheet more efficient/easier to use.

10. Which of the following terms would you most like to see in a standardized NOA? (mark all that apply)

___Agency Contacts

___Award Amount

___Award Classification/Type of Award

___ Award Number/Identifier

___Awarding Agency

___CFDA Number

___Date Issued

___Period of Performance

___Principal Investigator

Other: ____________________

____________________

____________________

____________________

____________________

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