WiTS Focus Group

OD fast track Submission for WiTS Focus Groups.docx

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

WiTS Focus Group

OMB: 0925-0648

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 03/2018)

Shape1 TITLE OF INFORMATION COLLECTION:
Workflow information Tracking System (WiTS) Focus Groups


PURPOSE:

Collect survey information in support of improvement efforts for the Workflow information Tracking System (WiTS) project.


DESCRIPTION OF RESPONDENTS:

A cross-section of government employees from various segments of the NIH’s Office of Human Resources.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ ] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[X] 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:__Kimberly Rivera_____________________________________________


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

Federal Employees

28

1

90/60

42






Totals

28

28


42



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Federal Employees

42

$36.12

$1,517.04





Totals



$1,517.04


*Cite source per bls.gov if applicable

Hourly pay rate is based on an average hourly salary for GS 11 step 5



FEDERAL COST: The estimated annual cost to the Federal government is $2,694


Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight

Project Lead


12/1

$79,720

2%



$1,594

Focus Group Liaison

N/A

N/A

N/A


$0

Moderator

9/1

$54,972

1%


$550

Asst. Moderator

9/1

$54,972

1%


$550

Contractor Cost












Travel






Other Cost












Total





$2,694




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?

Requesting volunteers from the OHR Divisions, consisting of HR specialists representing various OHR segments and functions. Selections for focus group sessions is based on the availability of the volunteers for given dates and times.



Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ ] Web-based or other forms of Social Media

[ ] Telephone

[X] In-person

[ ] Mail

[ ] Other, Explain

  1. Will interviewers or facilitators be used? [X] Yes [ ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRivera, Kim (NIH/OD) [E]
File Modified0000-00-00
File Created2021-04-23

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