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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 ClinRegs Pop-up Survey Questions (NIAID)	Form	New	Available
Form 1 TB Portals user feedback Private Sector (NIAID)	Form and Instruction	New	Repair queued
Form 1 TB Portals user feedback Individuals (NIAID)	Form and Instruction	New	Available
Form 1 Neuroimmunological Diseases Section (NDS) patient satisfaction survey (NIAID)	Form	New	Available
Form 1 Survey for Soliciting Feedback on Safety Oversight Committee Training Program (NIAID)	Form	New	Available
Form 1 Preclinical Test Tracking and Management System (PTTMS) Survey (NIAID)	Form and Instruction	New	Available
Form 1 U.S. Japan Cooperative Medical Science Program (USJCMSP)-- 22nd International Conference on Emerging Infectious Disease (EID) in the Pacific Rim (NIAID)	Form	New	Repair queued
Form 1 Funding News Satisfaction Survey (NIAID)	Form and Instruction	New	Repair queued
Form 1 Enhanced Privacy Rooms Customer Service Survey (NIAID)	Form and Instruction	New	Available
Form 1 EPIC Cohort Staff Satisfaction Survey (NIAID)	Form and Instruction	New	Available
Form 1 U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID)	Form and Instruction	New	Available
Form 1 DMID Order-It Customer Satisfaction Survey (Private sector) (NIAID)	Form and Instruction	New	Available
Form 1 DMID Order-It Customer Satisfaction Survey - Federal (NIAID)	Form and Instruction	New	Repair queued
Form 1 National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal)	Form and Instruction	New	Available
Form 1 National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	Form and Instruction	New	Available
Form 1 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" (individuals) (NIAID)	Form and Instruction	New	Available
Form 1 Intranet Version Next "Was This Page Helpful (IVN WTPH)?" - Federal (NIAID)	Form and Instruction	New	Available
Form 1 NIAID ClinRegs -- Private sector	Form and Instruction	New	Repair queued
Form 1 NIAID ClinRegs - Federal Government	Form and Instruction	New	Repair queued
Form 1 National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal)	Form and Instruction	New	Available
Form 1 National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	Form and Instruction	New	Available
30-day FRN2019-03357.pdf	Supplementary Document	Uploaded 2019-02-27	Available
SSA 0925-0668 NIAID Fast Track Extension 11062018_dw.docx	Supporting Statement A	Uploaded 2019-02-13	Available
Attachment_2_0925-0668_List_of_Sub-Study_Approvals 11-06-2018_dw.docx	Supplementary Document	Uploaded 2019-02-13	Repair queued
Attachment 1 0925-0668 Generic Clearance Fast Track Template 2018.doc	Supplementary Document	Uploaded 2019-02-13	Available
SSB 0925-0668 NIAID Fast Track Extension 11062018_dw.doc	Supporting Statement B	Uploaded 2019-02-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
243302	ClinRegs Pop-up Survey Questions (NIAID)	Form	New
243005	TB Portals user feedback Private Sector (NIAID)	Form and Instruction	New
242965	TB Portals user feedback Individuals (NIAID)	Form and Instruction	New
241910	Neuroimmunological Diseases Section (NDS) patient satisfaction survey (NIAID)	Form	New
239994	Survey for Soliciting Feedback on Safety Oversight Committee Training Program (NIAID)	Form	New
239331	Preclinical Test Tracking and Management System (PTTMS) Survey (NIAID)	Form and Instruction	New
239191	U.S. Japan Cooperative Medical Science Program (USJCMSP)-- 22nd International Conference on Emerging Infectious Disease (EID) in the Pacific Rim (NIAID)	Form	New
237464	Funding News Satisfaction Survey (NIAID)	Form and Instruction	New
235838	Enhanced Privacy Rooms Customer Service Survey (NIAID)	Form and Instruction	New
235818	EPIC Cohort Staff Satisfaction Survey (NIAID)	Form and Instruction	New
234949	U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID)	Form and Instruction	New
234948	DMID Order-It Customer Satisfaction Survey (Private sector) (NIAID)	Form and Instruction	New
234947	DMID Order-It Customer Satisfaction Survey - Federal (NIAID)	Form and Instruction	New
234946	National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal)	Form and Instruction	New
234945	National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	Form and Instruction	New
234944	Intranet Version Next "Was This Page Helpful (IVN WTPH)?" (individuals) (NIAID)	Form and Instruction	New
234943	Intranet Version Next "Was This Page Helpful (IVN WTPH)?" - Federal (NIAID)	Form and Instruction	New
234942	NIAID ClinRegs -- Private sector	Form and Instruction	New
234941	NIAID ClinRegs - Federal Government	Form and Instruction	New
234940	National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal)	Form and Instruction	New
234938	National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	Form and Instruction	New

ICR Details

OMB Control No: 0925-0668	ICR Reference No: 201902-0925-002
Status: Active	Previous ICR Reference No: 201512-0925-005
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/02/2019
	Date Received in OIRA: 02/27/2019
Terms of Clearance: Previous terms continue: 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

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2019
Responses	14,175	0	14,175
Time Burden (Hours)	7,533	0	7,530
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable NIAID to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 64347	12/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 6406	02/27/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

table that charts list of burden

IC Title	Form No.	Form Name
ClinRegs Pop-up Survey Questions (NIAID)	1	Survey Mock-up
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" (individuals) (NIAID)	1	IVN-WTPH-Survey screenshots
DMID Order-It Customer Satisfaction Survey (Private sector) (NIAID)	1	Order It Survey
NIAID ClinRegs - Federal Government	1, 2	ClinRegs - Focus Group ,   ClinRegs Survey screenshot
Funding News Satisfaction Survey (NIAID)	1	Funding News survey DEA OKER
U.S. Japan Cooperative Medical Science Program (USJCMSP)-- 22nd International Conference on Emerging Infectious Disease (EID) in the Pacific Rim (NIAID)	1	USJCMSP2020 screenshots
Neuroimmunological Diseases Section (NDS) patient satisfaction survey (NIAID)	1	NDS Survey screenshot
TB Portals user feedback Individuals (NIAID)	1	Screenshots TB Portal users
U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID)	1	Post Conference Assessment - USJCMSP2019
Enhanced Privacy Rooms Customer Service Survey (NIAID)	1	privacy room survey
National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	1	Inside-WTPH Screenshot
EPIC Cohort Staff Satisfaction Survey (NIAID)	1	screenshot of internal communication survey
Preclinical Test Tracking and Management System (PTTMS) Survey (NIAID)	1	PTTMS Survey screenshots
National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals)	1	WWW-WTPH survey screenshots
National Institute of Allergy and Infectious Diseases Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal)	1	Inside-WTPH-survey screenshot
Survey for Soliciting Feedback on Safety Oversight Committee Training Program (NIAID)	1	DMID Safety Oversight Survey
DMID Order-It Customer Satisfaction Survey - Federal (NIAID)	1	Order It survey
NIAID ClinRegs -- Private sector	2, 1	ClinRegs - Focus group ,   ClinRegs - Survey screenshots
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" - Federal (NIAID)	1	IVN-WTPH-Survey Screenshot
National Institute of Allergy and Infectious Diseases Internet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal)	1	WWW-WTPH-Survey screenshots
TB Portals user feedback Private Sector (NIAID)	1	Screenshots TB Portal users

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ICR Summary of Burden

table that charts list of burden

	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	14,175	14,175	0	0	0	0
Annual Time Burden (Hours)	7,533	7,530	0	3	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: the calculation for total burden hour was inadvertently inputted as 7530 vice 7533 previously

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Annual Cost to Federal Government: $298,575

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/27/2019

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