Form 1 ICARE Dialogues Customer feedback pre-surveys

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

ICARE Dialogues Customer Pre Survey Supporting documents_7_8_20

ICARE Dialogues Customer feedback pre- and post- surveys (OD)

OMB: 0925-0648

Document [pdf]
Download: pdf | pdf
The lnteragencv Collaborative Animal Research Education (ICARE) Project

https:/olaw.nih.gov/education/icare•in teragency a i ms to empower IACUCs and thei r insti tut ions to improve animal welfare and
thus increase the quality of data collected, and increase compliance with federal standards whil e minimizing regulatory burden.
For Questions Cone.act:
Erin Heath, CMP • Event Source Profess ionals Inc.• O: 972.712.0035 • M: 214.282.6780 • E: erin@espin c usa.com
4

Table of Contents: HOME
Register
The /CARE training programs are supponcd by rhe !CARE Project, an interagency iniria cive of the NIH Office of laboratory Animal Welfare
(OLAW). the USDA Animal and Plane Health Inspection Service (APHIS), the National Science Foundation (NSF), the Food and Drug
Administration (FDA), the Department o f Veterans Affairs (VA) and the Biomedical Advanced Research and Devel opment Authority (BARDA) of
the Dcpanment of Healch & Human Services.

National Insti tutesof Health
�dUC.,.._l'M'>:111'1'-..Y.?.'t

rffll U.S. FOOD & DRUG
- ADMINISTRATION

ICARE DIALOGUES
PRE SURVEY

Please answer the following questions from the perspective of your role in your institutional
animal program. (This may not necessarily be your career (e.g., if you are a professor or staff
scientist that serves on the IACUC please answer wearing your “IACUC hat.”)) Inquiries about
your group refer to the group through which you interact with the institutional animal program.
Roles and groups include:
•
•
•
•

IACUC (e.g., chair, member, ad hoc, director, administrator, staff);
compliance, PAM, training;
animal care and use operations (e.g., clinical vet, facility management, technician,
husbandry staff);
animal program administration (e.g., IO, dean).

1. I have an understanding of how to integrate COVID-19 restrictions into existing policies in
our program
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.

2. I know how to contribute to my group’s responsibility under the current phase of COVID-19
restrictions.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.
OMB # 0925-0648 Expiration Date: May 2021
Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person
is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

Pre/Post ICARE Dialogues
Pre/Post
Icon v6/7.1.20
1

3. My team is working effectively together despite social distancing during the COVID-19
crisis.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.

4. I currently have resources (e.g., ideas, supportive management, software) that enable my
group to function effectively under our current circumstances.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.
5. The recent issues surrounding race in our society have had an impact on the efficient
functioning of my group.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.
Comment Field:
6. During this difficult time of social distancing and unrest, my group is challenged by meeting
the federal standards of the PHS Policy and the AWAR.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.
OMB # 0925-0648 Expiration Date: May 2021
Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address .
Pre/Post ICARE Dialogues
Pre/Post
Icon v6/7.1.20
2

7. Pandemic restrictions have increased burden of continuing to provide optimal animal
welfare.
(1) Strongly disagree;
(2) Disagree;
(3) Neither agree nor disagree;
(4) Agree;
(5) Strongly agree.

OMB # 0925-0648 Expiration Date: May 2021
Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

Pre/Post ICARE Dialogues
Pre/Post
Icon v6/7.1.20
3


File Typeapplication/pdf
Authorichand
File Modified2020-07-08
File Created2020-07-01

© 2024 OMB.report | Privacy Policy