Fast track ICARE Dialogues feedback sessions 12 through 19

ICARE Dialogues OMB Approval App Customer feedback Surveys Sessions 12 through 19.docx

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

Fast track ICARE Dialogues feedback sessions 12 through 19

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)

TShape1 ITLE OF INFORMATION COLLECTION: ICARE Dialogues Customer feedback pre- and post-session surveys


PURPOSE:


The ICARE Project is a collaborative project of the US Government agencies that use animals, led by OLAW. PHS Assured institutions utilize ICARE training for their employees to facilitate effective functioning and decision-making of US Institutional Care and Use Committees (IACUCs) and their institutions to improve animal welfare and increase compliance

with federal standards while minimizing regulatory burden

ICARE Dialogues comprise a series of 8 virtual discussions limited to 25 attendees. The goal is to discuss issues relevant to the animal welfare community and collaboratively address compliance challenges. There is no cost to attendees. Topics of the dialogues include:

Integrating Pandemic Restrictions into Policies and Programs

Managing Teams Across Multiple Locations

Impact of Diversity, Inclusivity, and Race Relations on ACUPs and Personnel

Using Flexibility Provided in the PHS Policy and AWAR

Optimizing Animal Welfare During the Pandemic Crisis

To better tailor the approaches and materials to the participants, the following information will be collected:

  1. A two part survey (pre- and post-session portions) on program content/delivery and effectiveness using the Qualtrics web-based platform. As the program progresses, this will enable quality assessment and improvement on this educational training. Screenshots and questions are included in supporting documents entitled:

Supporting document Survey part 1_pre-session survey and

Supporting document Survey part 2_post-session survey.


DESCRIPTION OF RESPONDENTS:

The surveys will be given to all attendees of the ICARE Dialogues program. Attendees are members of the animal welfare communities and comprise members of academic, corporate, not-for-profit, and government research institutions.



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: Web Polling









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: Nicolette Petervary : 301-496-3133, [email protected]


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 and Households)

200

2

5/60


33






Totals

200

400


33


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals and households

33

$47.49

$1567





Totals

33


$1567

* Occupational Employment and Wages, May 2019 19-1042 Medical Scientists, Except Epidemiologists






FEDERAL COST: The estimated annual cost to the Federal government is $1,389

Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Animal Welfare Program Specialist

14/5

$138,866

1%


$1389













Contractor Cost












Travel






Other Cost












Total





$1389

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2021/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?

The surveys will be given to all attendees of the ICARE Dialogues program. [ ] 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?


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


  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 Created2021-04-23

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