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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: 2020 NLM NICHSR Webinar Survey

PURPOSE:

The National Library of Medicine (NLM) wishes to collect qualitative service delivery feedback from our stakeholders using the services and products of the National Information Center for Health Services Research and Health Care Technology (NICHSR). NLM NICHR has developed specialized tools and resources targeted toward the health services research community (HSR). The purpose of the short webinar survey is to assess these NLM HSR resources to further improve our future services to the medical research stakeholder community.

DESCRIPTION OF RESPONDENTS:

Respondents will include medical and health services managers using the services and products of the National Information Center for Health Services Research and Health Care Technology (NICHSR).

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: Douglas Joubert, MS Head of NLM User Services and NICHSR

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 (Medical and Health Services Managers)	1000	1	5/60	83
Totals	1000	1000		83

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Private Sector (Medical and Health Services Managers)	83	$48.55	$4029.65
Totals	83		$4029.65

*Cited source per bls.gov: https://www.bls.gov/ooh/management/medical-and-health-services-managers.htm

FEDERAL COST: The estimated annual cost to the Federal government is: $1,334.65

Staff	Grade/Step	Salary	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Head of NICHSR	GS 13/10	133,465	1%		$1,334.65
Contractor Cost					N/A
Travel					N/A
Other Cost					N/A
Total					$1,334.65

*the Salary in table above is cited from: https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/20Tables/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 and health services professionals who attend the NLM webinar and voluntarily choose to participate in the survey.

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

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