fast track for NIDDK Director's Update Survey

Request for Approval NIDDK Director's Update Survey 10-22-2020.docx

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

fast track for NIDDK Director's Update Survey

OMB: 0925-0648

Document [docx]
Download: docx | pdf

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

Shape1 TITLE OF INFORMATION COLLECTION: Online survey for gathering insight on the preferences of the NIDDK Director’s Update audience.


PURPOSE:

The NIDDK Director’s Update newsletter survey results will help the editors gain insight into current subscribers’ preferred content and topics, specifically considering NIDDK-information interests, and readership habits.


DESCRIPTION OF RESPONDENTS:

  • Subscribers of the NIDDK Director’s Update (SurveyMonkey)


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [X] Other: Customer 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:_Julia Gaspary___


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? [X] 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





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

28,555

1

10/60

4,759

Totals


28,555


4,759


Cost to Respondent


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals or Households

4759

$25.72

$122,401.48

Totals



$122,401.48


*Source: U.S. Bureau of Labor Statistics May 2019 National Occupational Employment and Wage Estimates, United States


FEDERAL COST: The estimated annual cost to the Federal government is ___$5,790.10___

Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Public Health Analyst

13/2

$106,085

2%


$2,121.70

Public Health Analyst

13/10

$128,920

2%


$2,578.40







Contractor Cost— Marketing Strategy & Analysis Senior Associate


$1,090



$1,090.00







Travel





$0.00

Other Cost





$0.00

Total





$5,790.10

*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? [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?


  • For SurveyMonkey, the respondents will be from the list of all NIDDK Director’s Update subscribers (approximately 28,555 individuals). The survey will be sent via email.


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 [X] No


5

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-04-06

© 2024 OMB.report | Privacy Policy