fast track GARD survey

NCATS GARD website user survey template - Revised 12-15-20.docx

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

fast track GARD survey

OMB: 0925-0648

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Request for Approval under the “Generic Clearance for the Collection of Routine User Feedback” (OMB#: 0925-0648 Exp., date: 05/2021)

TShape1 ITLE OF INFORMATION COLLECTION: National Center for Advancing Translational Sciences (NCATS) Genetics and Rare Disease Information Center (GARD) Website User Feedback Survey


PURPOSE: GARD is a program under the NCATS Office of Rare Diseases Research at the National Institutes of Health (NIH). It provides the public with access to current, reliable, and easy-to-understand information about rare or genetic diseases in English and Spanish. The GARD website includes information on over 6,000 rare diseases to help people find reliable information. In the United States, a rare disease is defined as one that affects fewer than 200,000 people. The types of information presented includes symptoms, causes, available treatments, how to find a specialist and information about finding a support group or obtaining financial assistance as well as other disease aspects important to a rare disease patient and their family.


The GARD website is currently undergoing a major redevelopment effort in terms of technology, content and user experience. NCATS would like to collect targeted user feedback on the current website to inform our development of the new website.


DESCRIPTION OF RESPONDENTS:

The respondents will primarily be patients with a rare disease or one of their family members or friends.


TYPE OF COLLECTION: (Check one)


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

[ x] 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: Eric Sid_____________________________________________


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

Individuals or households

500

1

10/60

83






Totals


500


83


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals or households

83

$25.72

$2,135





Totals



$2,135


* Source: https://www.bls.gov/oes/current/oes_dc.htm


FEDERAL COST: The estimated annual cost to the Federal government is _$4,212________

Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Program Officer

13/Step 2

$103,272

.05%


$52













Contractor Cost






Lead UI/UX Designer/Manager


$208,000

1%



$2,080

UX Researcher


$208,000

1%


$2,080

Travel






Other Cost












Total





$4,212



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?


Survey respondents will be visitors to NCATS GARD website pages and choose to respond to the survey by selecting “Provide Feedback” button.



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




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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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