OFT Annual Trainee Survey fast track

Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH OFT Annual Trainee Survey).docx

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

OFT Annual Trainee Survey fast track

OMB: 0925-0648

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Expiration Date: 05/2021)

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TITLE OF INFORMATION COLLECTION:

NIMH Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey

PURPOSE: To assess the effectiveness of the intramural training program at NIMH and to identify areas of potential improvement/growth.




DESCRIPTION OF RESPONDENTS: Researcher trainees participating in the NIMH Intramural Research Program who are recipients of an NIH Intramural Research Training Award (IRTA).






TYPE OF COLLECTION: (Check one)

Customer Comment Card/Complaint Form 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: Janet Clark, Ph.D,, Division of Intramural Research Programs, NIMH


To assist review, please provide answers to the following questions:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? Yes No


  1. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? N/A Yes No


  1. If applicable, has a System or Records Notice been published? N/A Yes No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? Yes 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/Households – Non-FTE Trainees

66

1

10/60

11











Totals

66

66


11


Category of Respondent

Total Burden

Hours

Hourly Wage Rate*

Total Burden

Cost

Individuals/Households – Non-FTE Trainees

11

$22.69/hr

$249.59





Totals

11


$249.59

*Source per www.bls.gov – Education, Training and Library Workers, All Other - https://www.bls.gov/oes/current/oes259099.htm


FEDERAL COST: The estimated annual cost to the Federal government is: $2,810

Staff

Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost

to Gov’t

Federal Oversight






Director for Fellowship Training

15/9

$162,000

0.5%


$810

Contractor Cost






Management Analyst


$100,000

2%


$2,000

Travel






Other Cost






TOTAL





$2,810

*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? 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?


All current NIMH Intramural Research Program trainees will be contacted for participation in the survey.



Administration of the Instrument

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


Web-based or other forms of Social Media

Telephone

☐In-person

☐Mail

☐Other, Explain


  1. Will interviewers or facilitators be used? Yes No









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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