fast track 2021 NIH Consumer Health Content Community of Practice

NLM Fast Track ICR_ 2021 NIH Consumer Health Community of Practice Survey.docx

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

fast track 2021 NIH Consumer Health Content Community of Practice

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, Exp. Date: 05/31/2021)

Shape1

TITLE OF INFORMATION COLLECTION:

2021 NIH Consumer Health Content Community of Practice Survey


PURPOSE:

The goal of this National Library of Medicine (NLM) qualitative survey is to collect voluntarily provided customer feedback from members of the NIH Consumer Health Content Community of Practice (CoP) about the group’s activities and to measure stakeholder satisfaction with the CoP listserv and other areas of general interests.


DESCRIPTION OF RESPONDENTS:

Customer feedback will be collected NIH employees who are subscribed to the NIH Consumer Health Content CoP listserv or attend the CoP Meetings.


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: Jen Jentsch

Project Manager, Technical Information Specialist


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


To assist review, please provide answers to the following questions:


ESTIMATED BURDEN HOURS and COSTS


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per

Response

(in hours)

Total Burden

Hours

Individual (Federal Government Employee and Contractor)

160

1

2/60

5







Totals

160


5



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individual (Federal Government Employee and Contractor)


5


$27.72


$138.60





Totals


$138.60

*The General Public wage rate was obtained from https://www.bls.gov/oes/2019/may/oes_nat.htm#00-0000


FEDERAL COST: The estimated annual cost to the Federal government is $461.39


Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Project Manager, MedlinePlus Connect

13/7

$124,428

.25



$311.07

Technical Information Specialist

9/1

$60,129

.25



$150.32

Contractor Cost






Travel






Other Cost






Total





$461.39


*the Salary in table above is cited from:

https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2021/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 customer list is NIH employees who are subscribed to the NIH Consumer Health Content CoP listserv or attend the NIH Consumer Health Content CoP Meetings.


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



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