Fast track GDB DVR Customer Satisfaction survey

012919-GDB-DVR Customer Satisfaction Survey PRA Request for Approval Form_kc.doc

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

Fast track GDB DVR Customer Satisfaction survey

OMB: 0925-0648

Document [doc]
Download: doc | pdf



Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648, Exp. Date: 05/31/2021)

T ITLE OF INFORMATION COLLECTION: Division of Veterinary Resources Customer Satisfaction Survey


PURPOSE:

The Division of Veterinary Resources (DVR) is launching a Customer Service Initiative. The initiative will focus on three core elements: a renewed focus on a service culture, improved customer service training and the establishment of customer service performance metrics. Information gained from the survey will be used to inform our training efforts and serve as the baseline for measuring optimal customer service.


DESCRIPTION OF RESPONDENTS:

The survey will be sent to NIH animal program directors and DVR investigators and high use customers.


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.


Signature: Colleen Guay Broder

Name: Colleen Guay Broder

Senior Scientific Advisor

Division of Veterinary Resources, Office of Research Services

Building 14 A, Room 109

301-594-1713






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 [ X ] 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

Individuals/households

40

1

5/60

3

Totals


40


3


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals/households

3

$79.00

$237

Totals



$237

*https://www.bls.gov/oes/2017/May/oes_nat.htm#00-0000


FEDERAL COST: The estimated annual cost to the Federal government is $1,387.

Staff

Grade/Step

Salary

% of Effort


Fringe (if applicable)


Total Cost to Gov’t

Federal Oversight






Industrial Psychologist

13/6

113,132

0.005


$566

Health Scientist

15/10

164,200

0.005


$821







Contractor Cost

N/A











Travel





0

Other Cost





0







Total





$1,387

*https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2018/general-schedule/


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?


Survey will be sent to all NIH Animal Program Director, DVR investigators and high use customers


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, Explain




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

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





3

File Typeapplication/msword
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
Last Modified BySYSTEM
File Modified2019-01-29
File Created2019-01-29

© 2024 OMB.report | Privacy Policy