DEBUT fast track request

NIBIB_Collection of Qualitative Feedback_DEBUT_Final Rev.docx

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

DEBUT fast track request

OMB: 0925-0648

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

TShape1 ITLE OF INFORMATION COLLECTION: NIBIB Input Survey for DEBUT Program


PURPOSE:

The National Institute of Biomedical Imaging and Bioengineering (NIBIB) wishes to collect input to help inform decisions about the 2020 Design by Bioengineering Undergraduate Teams (DEBUT) Challenge. NIBIB supports this annual design Challenge as part of its overall research training program. This program engages student teams to develop technology solutions to unmet needs in healthcare. To compete in the Challenge student teams develop prototype devices and submit evidence of the working prototype.


Given the global COVID-19 pandemic and disruption to undergraduate student programs, the DEBUT Challenge cannot be implemented as usual. NIBIB is seeking input from the undergraduate schools of bioengineering that participate in the Challenge. The survey will consist of six questions. The information collected from the survey will be used by NIBIB program staff to determine how to proceed with the 2020 Challenge.


DESCRIPTION OF RESPONDENTS:


Respondents will include 200 biomedical engineering department chairs and professors.


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: Christine Cooper


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



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 (college/university faculty)

200

1

10/60

33






Totals


200

33



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Biomedical Engineering Chairs and Faculty

33

$55.47

$1,830





Total



$1,830

*BLS National Occupational Employment and Wage Estimates (25-1032)

https://www.bls.gov/oes/current/oes_nat.htm


FEDERAL COST: The estimated annual cost to the Federal government is _____$451.00___


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Division Director

15/5

161,730

.0015%


$242.00

Contractor Cost






Program Analyst

--

81,634

.003%


$245.00

Program Director

--

137,491

.0015%


$206.00

Travel






Other Cost












Total





$451.00

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2020/DCB.pdf



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?


The universe of potential respondents is an email list of schools of bioengineering chairs and professors. These individuals are known to NIBIB as a group that receives funding opportunity announcements, and many have participated in the DEBUT Challenge in the past. The sample will consist of those who choose to respond to the survey.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ ] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[X] Other, Explain Email


  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 Created2021-02-20

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