TITLE OF INFORMATION COLLECTION:
2021 NCBI Educational Events Feedback Survey
PURPOSE:
The purpose of this National Library of Medicine (NLM) information collection is to gather voluntary customer feedback from participants in 2021 National Center for Biotechnology Information (NCBI) educational outreach events. Public participants who attend NCBI codeathons, technical workshops, and other educational events are asked to provide their feedback which will be used to improve NLM/NCBI educational events and make them more useful to participants.
DESCRIPTION OF RESPONDENTS:
Respondents will be individuals who voluntarily participate in the 2021 NLM/NCBI educational events, which will be open to the general public.
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:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
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: Barton Trawick, PhD_____________________________________________
To assist review, please provide answers to the following question:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [ ] Yes [X] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [X] No
If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No [X ]
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 or Households |
1000 |
1 |
10/60 |
167 |
|
|
|
|
|
Totals |
1000 |
1000 |
|
167 |
Category of Respondent |
Total Burden Hours |
Wage Rate* |
Total Burden Cost |
Individuals or Households |
167 |
$27.07 |
$4,520.69 |
|
|
|
|
Totals |
167 |
|
$4,520.69 |
* BLS May 2020 National Occupational Employment Wage Estimates https://www.bls.gov/oes/current/oes_nat.htm#00-0000;
FEDERAL COST: The estimated annual cost to the Federal government is: $2,704.49
Staff |
Grade/Step |
Salary |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Staff scientist |
T42 |
$138,329 |
1% |
|
$1,383.29 |
|
|
|
|
|
|
Contractor Cost |
|
|
|
|
N/A |
Survey support |
|
$13,212 |
10% |
|
$1,321.20 |
Travel |
|
|
|
|
N/A |
Other Cost |
|
|
|
|
N/A |
Total |
|
|
|
|
$2,704.49 |
* Cited from https://ohr.od.nih.gov/intrahr/Documents/title42/NIH_TITLE_42_PAY_MODEL_RANGES.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
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?
Respondents will be individuals who voluntarily participate in educational workshop events.
Administration of the Instrument
How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain
Will interviewers or facilitators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
File Modified | 0000-00-00 |
File Created | 2021-06-16 |