Fast Track IT Knowledge Surveys

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0642 Expiration Date: 3/31/2023)

TITLE OF INFORMATION COLLECTION: IT Knowledge Survey

PURPOSE: The National Cancer Institute (NCI)/Center for Biomedical Informatics and Information Technology (CBIIT) would like to develop role-based IT competencies for a pilot group within NCI staff so that NCI staff are more confident, comfortable, and efficient using technology. Information gathered from the surveys will only be used internally within CBIIT to help understand the general perception of products and services offered by CBIIT to NCI staff. This data is intended to aid in the alignment of general service improvements and the objectives outlined in CBIIT’s program management plans. A series of short surveys will be distributed within the pilot group over a period of 3 months.

Survey 1: Communication and Collaboration Tools

Survey 2: Software

Survey 3: Backing up Data

Survey 4: Remote Access and Account Management

Survey 5: Troubleshooting

DESCRIPTION OF RESPONDENTS: A pilot program will target staff (contractors, fellows, and volunteers ) within the Division of Cancer Control and Population Sciences (DCCPS).

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.

Name: Shannon L. Silkensen, PhD

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

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ X] 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	162	5	4/60	54
Totals		810		54

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individuals	54	$46.95	$2,535.30
Total			$2,535.30

*Source of the mean Hourly Wage Rate is provided by the Bureau of Labor Statistics, Occupation title “Medical Scientists” 19-1040, https://www.bls.gov/oes/2019/May/oes_nat.htm#00-0000.

FEDERAL COST: The estimated annual cost to the Federal government is $15,770.90

Staff	Grade/Step	Salary**	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Health Science Policy Analyst	14/10	$157,709	10%		$15,770.90
Contractor Cost					$0
Travel					$0
Other Cost					$0
Total					$15,770.90

**The salary in the table above is cited from: https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/20Tables/html/DCB.aspx

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?

Data has been retrieved from the NIH Employee Directory (NED) to identify staff within DCCPS. This group has been selected considering the size of the population, variety of organization units, employee types, and position titles.

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

[ ] Survey Form

[ ] Chart Abstraction

[ ] Other, Explain

2. 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.

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