fast track CBIIT Town Hall and NCI Orientation survey

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0642; Expiration Date: 03/31/2023)

TITLE OF INFORMATION COLLECTION: Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation.

PURPOSE: CBIIT hosts the CBIIT Town Hall and NCI Orientation. The purpose of this survey is to assess customer satisfaction of the CBIIT Town Hall and the monthly NCI Orientation events. This data will also be used to improve the quality of these events in the future. We give paper In-Person surveys at the meeting/orientation, but if staff do not fill it out at the meeting/orientation, they have the option of using a Survey Monkey survey. Since everything is virtual now, all the surveys will be by Survey Monkey. When we return to the office, we will use the In-Person surveys.

DESCRIPTION OF RESPONDENTS:

Information will be collected from Federal employees and contractors. This information collection request is for the collection of information from contractors.

The NCI Orientation is for all new staff. As we are not hiring any Federal employees at this point, the actual number of feds versus contractors cannot be known ahead of time.

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: Shea Buckman Manley

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

Amount: _________

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

ESTIMATED BURDEN HOURS and COSTS

Category of Respondent	No. Respondents	No. Responses per Respondent	Time per Response (in hours)	Total Burden Hours
Individuals	1000	1	3/60	50
Totals		1000		50

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individuals	50	$44.75	$2,237.50
Totals			$2,237.50

* Calculated by taking the average of mean hourly wage rate of Management Analysts, (Occupation Code #13-1111) ($45.94) and Operations Research Analysts (Occupation Code #15-2031) ($43.56). http://www.bls.gov/oes/current/oes_nat.htm#19-0000 -

FEDERAL COST: The estimated annual cost to the Federal government is $74.81

Staff	Grade/Step	Salary	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Communications Manager	14/8	$149,621	.05%		$74.81
Contractor Cost					$0
Travel					$0
Other Cost					$0
TOTAL					$74.81

**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

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? [ ] Yes [ X] 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 offered to whomever attends the CBIIT hosted event. The survey audience will be identified either through a registration mechanism, sign in sheet or by providing a hard copy of the survey to the respondent.

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

[X ] In-person (Paper)

[ ] Mail

[ ] Survey Form

[ ] Chart Abstraction

[ ] Other, Explain

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

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