OIT Training fast track survey

OIT Training Survey 2019 - Fast Track Template (2).docx

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

OIT Training fast track survey

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: 05/2021)

Shape1 TITLE OF INFORMATION COLLECTION: OIT Training Customer Satisfaction Survey


PURPOSE: The purpose of this survey is to collect feedback from customers that have attended training provided by OIT for applications or technologies available to them. Examples of training include Voice Over IP (VoIP), OneDrive, MobileIron, and SharePoint Online. OIT will make more trainings available for customers as they become available.



DESCRIPTION OF RESPONDENTS: This survey will solicit responses from both government employees and contractors.



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:________________________________________________


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 [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

Individual

50

1

5/60

4






Totals

50

50


4



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individual

4

23.12

92.48





Totals



92.48

*Cite source per bls.gov if applicable: https://beta.bls.gov/dataViewer/view/timeseries/WMU00478941020000004300002500



FEDERAL COST: The estimated annual cost to the Federal government is___8,103.00____


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight

14/7

140,632


.5%


$703.00







Contractor Cost


74,000

10%


7,400.00







Travel






Other Cost












Total





8,103.00

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2018/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? [X] Yes [ ] 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? Potential respondents will be selected based on participation in voluntary trainings provided by OIT



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

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




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-05-03

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