Fast track DS-I Africa Feedback survey

Fast Track for Survey.docx

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

Fast track DS-I Africa Feedback 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 Exp., date: 05/2021)

Shape1 TITLE OF INFORMATION COLLECTION: Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Virtual Symposium Platform Feedback Survey


PURPOSE:


As a part of the launch of the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) program, NIH is hosting a DS-I Africa Virtual Symposium Platform. This online resource includes an online networking community that allows participants to: learn about the funding opportunity announcements; network with other participants across disciplines, sectors, and geographies; and explore potential collaborations. The Virtual Symposium Platform will include several keynote videos and interactive webinars with panels of leading data scientists. Access to these online tools and events are free and open to the public.


This online survey will be available after the Virtual Symposium to collect feedback from participants on meeting the goals of the Symposium.




DESCRIPTION OF RESPONDENTS:


Respondents will be participants of the Virtual Symposium who are versed in data science from various sectors: academic, government, private sector, NGO, and multinational organizations. The majority will be English-speaking persons from Africa and/or the United States.



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: Celia Katz______


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? [ ] Yes [X] No

  3. If Applicable, has a System or Records Notice been published? [ ] Yes [X] 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

400

1

5/60

33






Totals


400


33



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals – American 200

33

$59

$1,947

Individuals – African 200

33

$32

$1,056

Totals



$3,003

Source: Bureau of Labor Statistics: The General Public rate was obtained from https://www.bls.gov/oes/current/oes251071.htm. For American Respondents only.


FEDERAL COST: The estimated annual cost to the Federal government is $1,677


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Public Policy Analyst

13/1

102,663

1%


$1027













Contractor Cost






Contractor


65000

1%


$650

Travel






Other Cost












Total





$1,677

*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? [ ] 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 Virtual Symposium is hosted on a website that requires registration. The website will have the survey available and only participants who previously registered for the Symposium will be able to access and complete the survey. Our respondents are only participants in the Symposium and since they have to register for the website, we can control who will be able to respond to the survey request.


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 Created2021-02-20

© 2024 OMB.report | Privacy Policy