Fast Track PRA Submission Short Form

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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:  2019 NLM Protocol Registration and Results System (PRS) Feedback Survey

PURPOSE:  
The goal of this National Library of Medicine (NLM) survey is to collect qualitative feedback from users of the ClinicalTrials.gov Protocol Registration and Results System (PRS) on their experience using the PRS Guided Tutorials The information from this survey will be used to improve the information and user experience of the PRS Guided Tutorials.  

DESCRIPTION OF RESPONDENTS: 
Respondents will be public users of the Protocol Registration and Results System (PRS) Guided Tutorials webpage.  

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: Anna Fine

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, will any information that is collected be included in records that are subject to the Privacy Act of 1974?   [  ] Yes [X] No   
    3. If Yes, has an up-to-date System of Records Notice (SORN) been published?  [  ] Yes  [  ] No 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 

Individuals or Households
 
    3550
      
         1
    
    4/60
  
    237





Totals
    
      3550

    237 


 Category of Respondent

Total Burden
Hours
Wage Rate*
Total Burden Cost 
Individuals or Households
     237
   $24.98
    $5920.26

   


Totals
     

    $5920.26

*The General Public wage rate was obtained from https://www.bls.gov/oes/2018/may/oes_nat.htm#00-0000

FEDERAL COST:  The estimated annual cost to the Federal government is: $1024.77

Staff

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





Customer Outreach Service Specialist
    GS13/2
$102,477
    1%

    $1024.77
Contractor Cost




       N/A






Travel




       N/A
Other Cost




       N/A






Total




   $1024.77

**The Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/19Tables/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 survey will be publicly accessible through a link on the ClinicalTrials.gov PRS Guided Tutorials webpage. 

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