CDER Library Test 1

Form Approved

OMB No. 4040-0017

Exp. Date 03/31/2019

HHS DATA Act Program Management Office (DAP)

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CDER Library 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?

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

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

___________________________________

Please provide the answer that reflects your opinions as accurately as possible.

1. To what extent would having an online tool that contains defined data elements change your organization’s time spent on grant lifecycle forms?

Significantly Faster

Somewhat Faster

Neither Faster nor Slower

Somewhat Slower

Significantly Slower

Cannot Assess

2. To what extent would having an online tool that contains defined data elements change your organization’s accuracy when completing grant lifecycle forms?

Significantly More Accurate

Somewhat More Accurate

Neither Increase nor Decrease in Accuracy

Somewhat Less Accurate

Significant Less Accurate

Cannot Assess

3. To what extent would you use an online tool that contains defined data elements while completing grant lifecycle forms?

Always

Occasionally

Rarely

Very Rarely

Never

Cannot Assess

4. To what extent do you encounter different definitions for the same data element across multiple grants lifecycle forms, including forms across agencies?

Always

Occasionally

Rarely

Very Rarely

Never

Cannot Assess

5. Currently, how accurate do you believe your data element responses are within grant lifecycle forms?

100% Accurate

75% Accurate

50% Accurate

25% Accurate

0% Accurate

6. Currently, how much time (in minutes) do you spend searching for data element definitions while completing grants lifecycle forms?

_________________

Please complete the following questions based on your experience completing the Data Collection Tool.

7. Estimate how long (in minutes) you spent completing the Data Collection Tool:

__________

8. How accurate do you believe your data element responses are?

100% Accurate

75% Accurate

50% Accurate

25% Accurate

0% Accurate

9. Did you use the CDER Library while completing your Data Collection Tool?

Yes

No

If you answered “Yes” to Question 9:

10. In your own words, what are the strengths of the CDER Library?

11. In your own words, where can the CDER Library be improved?

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0017. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer