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

ICR 201702-0925-001

OMB: 0925-0642

Federal Form Document

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Supporting Statement A
2017-03-07
Supplementary Document
2017-03-07
Supplementary Document
2017-02-16
Supplementary Document
2017-02-16
Supporting Statement B
2017-02-16
IC Document Collections
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235381 New
234752 New
234735 New
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234408 New
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ICR Details
0925-0642 201702-0925-001
Historical Active 201406-0925-004
HHS/NIH
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Revision of a currently approved collection   No
Regular
Approved without change 05/02/2017
Retrieve Notice of Action (NOA) 03/08/2017
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved 08/31/2017
49,500 0 19,500
26,751 0 26,250
0 0 0

This generic has provided information about the National Cancer Institute’s customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. It has also allowed feedback to contribute directly to the improvement of program management. Feedback collected under this generic clearance provides useful information but it does not yield data that can be generalized to the overall population.

EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  
None

Not associated with rulemaking

  81 FR 89954 12/13/2016
82 FR 12616 03/06/2017
No

55
IC Title Form No. Form Name
Voice of Customer (VoC) Surveys for CBITT's Website 1 CBIIT Survey Screenshots
NCI OSFM Small Little Job (SLJ) Survey 1 Small Little Job survey
CBIIT Service Now Customer Satisfaction Survey (NCI) 1 Service Now Survey
Child Care Needs Survey (NCI) 2, 1 listening session guiding questions ,   Childcare study survey
NCEF Survey for Program Operations 1 Customer Survey
2017 NCORP Annual Meeting Assessment and Feedback 1 SurveyMonkey for NCORP
Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) 1, 2 CPF Survey 2018 First Year Fellows ,   CPF Survey 2018 Senior Fellows
Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting 1 SPARC Survey Money Screenshots 2018 SPARC Symp Survey
Pre-meeting Survey for the NCI Cohort Consortium 1 screenshots - Survey Cohort Consortium
NCI CPFP Follow-Up Summer Curriculum Survey 1 Summer Curriculum Program Follow-Up Survey
NCI CPFP End of Course Summer Curriculum Survey 1 End of Course Summer Curriculum Survey
Grants and Grantsmanship Workshop Survey 1 CPFP Grants Workshop Evaluation
Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) 1 NCIat Frederick-SciLibrary Survey 2018
Information Gathering for Employee Wellness Program Needs (NCI) 1 Wellness Survey Questionns
NCI Healthcare Teams Cyber Discussion Feedback Survey 1 Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
Customer Satisfaction Survey for CBIIT's Newsletter and Intranet 1 Survey
NIH Events Management – Post Production Survey 1 Post Production Burden
EXPOSE Alumni Survey Fast track (NCI) 1 EXPOSE Alumni Survey
Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) 1 FRM Fellow Survey Form
Implementation Science (IS) at a Glance (NCI) 1 IS Survey Screenshots
Customer Satisfaction Survey for CBIIT Events 1 CBIIT Event Survey
NCI OFSM Shuttle Special Service 1 Shuttle Special
NIH Events Management – Audio Visual Survey 1 EM Audio Visual Burden
NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey 1, 1 EXPOSE PRE-SURVEY ,   EXPOSE POST SURVEY
ASA24 Customer Satisfaction Survey (NCI) 1 ASA24 User Survey
NCI CPFP Summer Curriculum Focus Group Survey 1 Focus Group Question
NCI OSFM Fitness Center Survey 1 Fitness survey
Customer Satisfaction Surveys for CBIIT Solutions Website 1 CBIIT Soultions Survey
NCI OSFM Relocation Survey - Lab 1 Lab relocation survey
2nd RAS Initiative Symposium Feedback Survey 1 2nd RAS survey questions
Rockledge 1 and 2 Furniture Mockup Feedback 1 Mockup Furniture Survey Card
2018 NCORP Annual Meeting Assessment and Feedback (NCI) 1 2018 NCORP Annual Meeting Planning Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) 1 EGRP SeqSPACE Webinar Survey
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) 1 Speaking About Science Workshop
Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) 1 6.1 Special Fitness Survey
Hallway Interviews about myNCI with NCI staff (NCI) 1 myNCI Hallway Interview Guide
voice of Customer (VoC) surveys for NCI's cancer.gov 1, 2, 3, 4 Content WRX Survey ,   Page Level Surey ,   Exit Survey ,   Clinical Trials Search Survey
Healthcare Delivery Research Program Communications Evaluation Survey 1 HDRP Survey
NCI OSFM Express Services Survey 1 Express services survey
NCI OSFM Conference Room Services Survey 1 Conference survey
2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey 1 2018 BRAIN PI meeting
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey 1 SeqSPACE survey question screenshots
NIH Events Management – Scheduling Services Survey 1 Scheduling Burden
CTSU Multi-Group Audit (MGA) Feedback Surveys 1, 2 MGA Feedback Survey AUDIT Staff screenshots ,   MGA Feedback Survey SITE Staff screenshots
NIH Events Management – Video Production Survey 1 Video Production Survey
Assessment of 2018 HINTS Data Users Conference (NCI) 1 HINTS survey
NCI OFSM Customer Satisfaction Survey 1 Shuttle Survey
Survey of Customer Satisfaction for DCCPS Fellows 1 Survey
2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback 1 2018 NCORP Annual Meeting Planning Survey
NCI OSFM Relocation Survey- Office 1 Data Collection Instrument
NCI CPFP Daily Summer Curriculum Survey 1 CPFP NCI Summer Curriculum Daily Survey
NCI Digital Communications University (DCU) Survey 1 DCU Survey Screenshots
Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract 1 Screenshot for Media Survey
Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research 1 Screenshot from survey to inform Workshop discussion
Healthcare Teams Cyber Discussion Feedback Survey (NCI) 1 Healthcare Teams CD Survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 49,500 19,500 0 30,000 0 0
Annual Time Burden (Hours) 26,751 26,250 0 501 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a revision. The changes proposed in this information collection revolve around the burden. The overall burden has increased by 167 hours. This is the difference of the previously approved 8,750 minus the proposed, 8,917. The total number of respondents has increased by 10,000 from 6,500 to 16,500. This increase is to account for for the increased survey activities that are planned. The overall 3 year burden has increased by 501.

$300,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tawanda Abdelmouti 240 276-5530 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/08/2017


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