Supporting Statement for Collection of planning and satisfaction data with participants at the May 29-30, 2019 NSF INCLUDES Nati

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB Control Number: 3145-0215)
TITLE OF INFORMATION COLLECTION:
Collection of planning and satisfaction data with participants at the May 29-30, 2019 NSF
INCLUDES National Network Meeting
PURPOSE:
NSF INCLUDES is a comprehensive national initiative designed to enhance U.S. leadership in
science, technology, engineering, and mathematics (STEM) discoveries and innovations by
focusing on broadening participation in these fields at scale. The program supports the
development of a robust network of partnerships among stakeholders across multiple sectors
(public, private, academic). This Network aims to (1) facilitate the sharing of promising practices
and data for broadening participation in STEM, (2) contribute to the knowledge base on
broadening participation in STEM through research, and (3) establish a framework for
supporting communications and networking among partners, as well as across a national network
of other efforts to broaden participation in STEM.
The NSF INCLUDES Coordination Hub will host a National Network Convening on May 29-30,
2019. The goals of the Convening are to develop a sense of community (Network membership)
among attendees and to create momentum and urgency around broadening participation for
participants. The convening is designed to build participants’ knowledge and skills through
activities such as:
• Partnerships/sharing of resources and networks; network building
• Discovering and establishing new network sub-communities around shared interests and
expertise (“affinity groups”); convene existing affinity groups on topics such as
evaluation
• Bringing other federal agencies into the Network
• Brokering connections with STEM broadening participation efforts in industry
• Present proposed process and focus of NSF INCLUDES Coordination Hub’s shared
measures for the Network
• Technical assistance on other high-need areas, including the role of backbone
organizations in collective impact endeavors, inclusive practices in stakeholder
engagement, and developing external communications strategies.
NSF INCLUDES Coordination Hub seeks to collect formative data from meeting participants
prior to the Convening to inform targeted session planning and enhance customer satisfaction,
and during and after the meeting, to assess participant satisfaction and learning resulting from the
meeting. This proposed data collection will include the following:
• An online pre-convening survey to gather information on participant’s priorities and
expectations for the National meeting. The survey will be programmed in Survey
Monkey and administered two weeks prior to the meeting
• Intercept interviews to capture participants’ real-time reactions to meeting activities
• An online post-convening survey to assess the quality of participants’ experience and
how they plan to apply what they learned to their work. The survey will be programmed
in Survey Monkey and administered immediately following the meeting.

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SurveyMonkey’s information systems and technical infrastructure are hosted within
world-class, SOC 2 accredited data centers.
The information gathered will be used to inform the NSF INCLUDES Coordination Hub’s
planning and not for evaluation or publication purposes.
DESCRIPTION OF RESPONDENTS:
The universe of respondents are participants at the May 29-30, 2019 NSF INCLUDES National
Network Meeting. The attendees at this convening are comprised of NSF awardees, NSF
program officers, and representatives invited by NSF from other Federal Agencies. The list of
invitees has been vetted and accepted by the NSF. All participants are considered part of the NSF
INCLUDES National Network, and are interested in or working directly to broaden participation
in STEM.
Respondants for the pre and post convening survey include the entire universe of Network
Meeting participants (approximately 250 individuals). The sample of respondants for the
intercept interviews is 36.
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
[X ] Other: Intercept interviews,

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:____Suzanne Plimpton, NSF Reports Clearance Officer__________________________
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [X] Yes [ ] No
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [ ] Yes [X] No
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No
Gifts or Payments:

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Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [X] No
BURDEN HOURS
Type of Collection

Category of Respondent

No. of
Respondents
Survey (pre-convening) Individuals (participants at
250
the May 29-30, 2019 NSF
INCLUDES National
Network Meeting)
Intercept interviews
Individuals (participants at 36 (subset of
the May 29-30, 2019 NSF
the 250)
INCLUDES National
Network Meeting)
Survey (post
Individuals (participants at 250 (same as
convening)
the May 29-30, 2019 NSF
pre-survey)
INCLUDES National
Network Meeting)
Totals
536

Participation
Time
15 minutes

Total Burden

5 minutes

3 hours

20 minutes

83.33 hours

62.5 hours

149 hours

FEDERAL COST: This effort is accounted for in the NSF INCLUDES Coordination Hub
award.
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
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?
Our potential respondents will be participants at the May 29-30, 2019, NSF INCLUDES
National Network meeting who represent NSF INCLUDES Alliance or Design & Development
Launch Pilot grants or NSF staff associated with the network.
For the pre- and post-convening surveys, we will use participant contact information provided at
registration to send the online link to all participants on the registration list.
We will collect intercept interview data from up to 36 participants, focusing on Network
members who identify as receipients of NSF INCLUDES Alliance or Design & Development
Launch Pilot grants (the grantees most closely benefitting from the Network). Intercept
interviews will ask 1-2 selected questions from the attached protocol for each encounter aligned
to the respondant’s role and the content of a given meeting session activity. Selection of

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interviewees will be opportunistic. Interviewers will be observing sessions at the convening.
Interviews will take place before and after sessions and during scheduled breaks.

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
[x ] In-person
[ ] Mail
[ ] Other, Explain
2. Will interviewers or facilitators be used? [X ] Yes [ ] No
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

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