fast track for LabBranch Chief Feedback

NIH Generic 0648 Template_NIMH IRP Lab-Branch Chief Feedback Survey.docx

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

fast track for LabBranch Chief Feedback

OMB: 0925-0648

Document [docx]
Download: docx | pdf

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: NIMH IRP Laboratory/Branch Chief Performance Satisfaction Survey


PURPOSE:

The National Institute of Mental Health (NIMH) Intramural Research Program (IRP) will distribute a survey to IRP Principal Investigators, staff, and trainees requesting their anonymous feedback on satisfaction with the performance of IRP Laboratory/Branch (L/B) Chiefs. The survey data will inform the reviews of L/B Chiefs by the NIMH Board of Scientific Counselors (BSC). L/B members’ satisfaction is a valuable measurement to inform the evaluation of L/B Chiefs. 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 members of the Laboratory/Branch under evaluation. They may be NIH-employed researchers, contractors, or trainees. NIMH labs/branches whose Chiefs will be reviewed from 2021-2024 include: Laboratory of Brain and Cognition, Emotion and Development Branch, Molecular Imaging Branch, Laboratory of Neuropsychology, Human Genetics Branch, and Experimental Therapeutics and Pathophysiology Branch.


TYPE OF COLLECTION: (Check all that applies)


[ ] Customer Comment Card/Complaint Form [ X ] 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:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [ X ] No

  2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If applicable, has a System or Records Notice been published? [ ] Yes [ ] No


Gifts or Payments:

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

Amount: ___________

Explanation for incentive: (include number of visits, etc.)



ESTIMATED BURDEN HOURS and COSTS


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per

Response

(in hours)

Total Burden

Hours

Individuals/Households

400

1

5/60

33

Totals


400


33


COST TO RESPONDENTS


Category of Respondent

Total Burden Hours

Wage Rate*

Total Burden Cost

Individuals/Households

33

$41.29/hr

$1,363

Totals



$1,363

* Respondent wage rate data are from the Life Scientists, All Other (19-1099) category at http://www.bls.gov/oes/current/oes_nat.htm#00-0000.



FEDERAL COST: The estimated annual cost to the Federal government is $ 2,508

Staff

Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Senior Scientific Advisor

15/6

$166,487

0.4


$666

Program Specialist

12/3

$92,091

2


$1,842

Contractor Cost












Travel






Other Cost






Total





$2,508

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2020/DCB.pdf.



The selection of 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?


The Office of the Scientific Director will provide a list of lab/branch members from the last four years. We will send the survey to all members listed.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ ] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ X ] Survey form

[ ] Chart Abstraction

[ ] Other, Explain


  1. Will interviewers, facilitators, or research coordinators be used? [ ] Yes [ X ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

5

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-01-12

© 2024 OMB.report | Privacy Policy