Generic Clearance Submission Template

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

TITLE OF INFORMATION COLLECTION:  NLM Health Science Data Needs Assessment

PURPOSE:  The objective of this information collection is to assist the National Library of Medicine (NLM) in improving our future services to the medical research stakeholder community. This survey will collect qualitative feedback and service delivery information from potential NIH intramural research users of NLM science data resources and tools. The information collected from this survey will be used to assess the areas for growth and improvement and to identify gaps between what is available and accessible versus what is desired or needed.   

DESCRIPTION OF RESPONDENTS: Medical research scientists of the Intramural Research Program of the National Institutes of Health (NIH), including post-doctoral fellows, tenure-track and tenured scientists

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  					[X] Other: Services Delivery Feedback

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: Lisa Lang______________________
Assistant Director for Health Services Research Information 
National Library of Medicine 

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 [X] No   
    3. If Applicable, has a System or Records Notice been published?  [  ] Yes [  ] No [X] N/A

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 
Private Sector 
(Medical Scientists)
   200 
              1
  15/60
  50





Totals
   200
200

  50


Category of Respondent

Total Burden
Hours
Wage Rate*
Total Burden Cost 
Private Sector 
(Medical Scientists)
        50
      
    $39.46
   $1973.00




Totals
        50

   $1973.00
* https://www.bls.gov/ooh/life-physical-and-social-science/medical-scientists.htm


FEDERAL COST:  The estimated annual cost to the Federal government is: $25,878.04 

 Staff

Grade/Step
Salary*
% of Effort
Fringe (if applicable)
Total Cost to Gov’t
Federal Oversight





Technical Information Specialist
    
     13/5
$109,900
    .50%

  
       $549.50
Head, NICHSR  
     15/10
$164,200
    .25%

       $410.50





   
Contractor Cost

$177,986
    14%

  $24,918.04






Travel




    
Other Cost




    
Total




  $25,878.04
*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/18Tables/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?											[] 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 pool of potential respondents will be medical science investigators who work in scientific laboratories, hospital clinics, and fieldwork stations. They will be contacted via identified listservs. 

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

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