Fast Track NIHTC Course Survey

Fast Track Clearance Application_NIHTC Course Survey.docx

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

Fast Track NIHTC Course Survey

OMB: 0925-0648

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Shape1 Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 05/2021)

TITLE OF INFORMATION COLLECTION: NIH Training Center Survey


PURPOSE: To assess student satisfaction of NIH Training Center (NIHTC) hosted classes. The survey collects information on the following:

  • Overall instructor

  • Course Content

  • Customer Service of NIHTC staff

  • NIHTC Facilities and Equipment

  • Length of the class

  • Overall experience

  • Lessons learned from the class and whether it will be applied


DESCRIPTION OF RESPONDENTS: Respondents consist of NIH employees that enroll in NIHTC sponsored trainings that are facilitated by NIHTC staff and/or external facilitation staff. The respondent pool is primarily Federal employees; however, occasionally contract staff will participate as well.



TYPE OF COLLECTION: (Check one)

[ ] 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.


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Shima Daneshpour

Name:


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


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



ESTIMATED BURDEN HOURS and COSTS


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per Response (in hours)

Total Burden Hours

Federal Government

Contractors

225

1

5/60

19






Totals


225


19



Category of Respondent

Total Burden Hours

Hourly Wage Rate*

Total Burden Cost

Federal Government Contractors

19

$31.54

$599.26

Totals



$599.26

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


FEDERAL COST: The estimated annual cost to the Federal government is $ 8267





Staff



Grade/Step



Salary*


% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






NIHTC Deputy Director

GS 14/10

$152,352

1%


$1523.52

NIHTC Program Manager

GS 13/5


$112, 393


6%


$6743.58







Contractor Cost












Travel






Other Cost












Total





$8267

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary- tables/pdf/2018/DCB.pdf

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?


The survey will be distributed to all staff who participate in a training session. Participation in the survey is voluntary.



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, Paper Evaluations distributed after class

  1. Will interviewers or facilitators be used? [ ] Yes [ x ] No


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

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-01-15

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