National Institute of Mental Health (NIMH) Core Facility User Survey fast track

Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Core Facility User Survey2).docx

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

National Institute of Mental Health (NIMH) Core Facility User Survey fast track

OMB: 0925-0648

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Expiration Date: 05/2021)

Shape1

TITLE OF INFORMATION COLLECTION:

National Institute of Mental Health (NIMH) Core Facility User Survey

PURPOSE:

The information collected will inform the reviews of core facilities by the NIMH Board of Scientific Counselors (BSC). Core facility user satisfaction is a valuable measurement to inform assessment of these services. The BSC review meetings are closed to the public in accordance with the provisions set forth in section 552b(c)(6), Title 5, U.S. Code and Section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2). Therefore the results of the surveys, which will collect data to inform the closed proceedings, will not be available to the public.

DESCRIPTION OF RESPONDENTS:

Respondents will be researchers who have used a core facility in the past 4 years. They may be NIH-employed researchers, contractors, or researchers at non-governmental institutions such as universities or companies. NIMH core facilities to be reviewed by the BSC from 2018-2020 include: Human Brain Collection Core; Transgenic Core; Statistical Genomics and Data Analysis Core; Neurophysiology Imaging Core; Magnetic Resonance Core; Magnetoencephalography Core; Functional MRI Core; Scientific and Statistical Computing Core; Section on Instrumentation; Rodent Behavioral Core.


TYPE OF COLLECTION: (Check one)

Shape3 Shape2 Customer Comment Card/Complaint Form Customer Satisfaction Survey Usability Testing (e.g., Website or Software Small Discussion Group Focus Group Other:


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: Jennifer E. Mehren, Ph.D., Division of Intramural Research Programs, NIMH


To assist review, please provide answers to the following questions:


Shape4 Personally Identifiable Information:

  1. Shape5 Is personally identifiable information (PII) collected? Yes No


  1. Shape7 Shape6 If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? Yes No

Shape8 Shape9

  1. If applicable, has a System or Records Notice been published? N/A Yes No


Gifts or Payments:

Shape10 Shape11 Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? Yes


ESTIMATED BURDEN HOURS and COSTS


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per Response (in hours)

Total Burden Hours

Private Sector – Researchers

85

1

6/60

9






Totals

85

85


9


Category of Respondent

Total Burden

Hours

Hourly Wage Rate*

Total Burden

Cost

Private Sector – Researchers

9

$35.76/hour

$321.84





Totals



$321.84

*Cite source per bls.gov if applicable - https://www.bls.gov/oes/current/oes190000.htm.

FEDERAL COST: The estimated annual cost to the Federal government is: $2,565.31

Staff

Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost

to Gov’t

Federal Oversight






Scientific Advisor

GS-14/8

$141,328

0.4%


$565.31

Contractor Cost






Management Analyst


$100,000

2%


$2,000.00

Travel






Other Cost






TOTAL





$2,565.31

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?


Shape13 Shape12 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?


Each core facility will provide us with their list of users from the last four years. We will send the survey to all users listed.


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

In-person

Mail

Other, Explain


  1. Shape15 Shape14 Will interviewers or facilitators be used? Yes



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-01-20

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