Fast track NIMH Employee Engagement Survey

Request for OMB Clearance - NIMH Engagement Survey 2020_06022020 (1).docx

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

Fast track NIMH Employee Engagement 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 Expiration Date: 05/2021)

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TITLE OF INFORMATION COLLECTION:

NIMH Employee Engagement Survey 2020

PURPOSE:

The purpose of this collection is to assess the engagement of all NIMH employees as they telework, and as they transition back to the onsite workplace.

DESCRIPTION OF RESPONDENTS:

The respondents will include all Federal employees, Contractors, and Fellows, that work at NIMH.


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: ___CHRISTOPHER A CHAI_____________________________________________


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

Federal government contractors

359

1

4/60

24






Total


359


24


Category of Respondent

Total Burden

Hours

Hourly Wage Rate*

Total Burden

Cost

Federal government contractors

24

$34.90

$837





Total



$837

*U.S. Department of Labor, Bureau of Labor Statistics (May 2019) Metropolitan and Nonmetropolitan Area Occupational Employment and Wage Estimates (All Occupations) Washington-Arlington-Alexandria, DC-VA-MD-WV Area - https://www.bls.gov/oes/current/oes_47900.htm#00-0000


FEDERAL COST: The estimated annual cost to the Federal government is: $258

Staff

Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost

to Gov’t

Federal Oversight






Administrative Officer

15/1

$142,701

1


$143

Contractor Cost






Management Analyst


$115,000

1


$115

Travel






Other Cost












TOTAL





$258

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?


This is a full population survey of all current NIMH FTE and contract staff.



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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