fast track template for Online Polling seminar

fast track template Customer feedback Survey OLAW Online seminar Dec 2021 (1).docx

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

fast track template for Online Polling seminar

OMB: 0925-0648

Document [docx]
Download: docx | pdf

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 06/30/2024)

Shape1 TITLE OF INFORMATION COLLECTION: OLAW Online Seminar Dec 2021 Polling questions


PURPOSE:


The OLAW Online Seminars series is a quarterly webinar series on items of interest to the laboratory animal care and use community, specifically animal researchers, Institutional Animal Care and Use Committees (IACUCs), IACUC administrators Institutional Officials, veterinarians, and regulatory compliance staff. Topics focus on regulatory compliance, reduction of administrative burden and animal care and use best practices. These webinars are offered free of charge.


The December 9 2021 OLAW Online Seminar is titled Best Practices for Conducting a Search for Alternatives and Finding Animal Model/Model Organism Information


To better tailor the approaches and materials to the participants, 5 polling questions administered via NIH enterprise Zoom will be interspersed throughout the webinar. The anonymous polls assess the level of knowledge on how to conduct a search for alternatives and will help speakers ensure audience appropriate content.


DESCRIPTION OF RESPONDENTS:

Respondents are members of the animal welfare communities who choose to register for the webinars. These generally include animal researchers, Institutional Animal Care and Use Committees (IACUCs), IACUC administrators Institutional Officials, veterinarians, and regulatory compliance staff. These people comprise members of academic, corporate, not-for-profit, and government research institutions.


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 [X] 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)

500

1

1/60


8






Totals

500

500


8


COST TO RESPONDENT


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals and households

8

$48.94

$392





Totals



$392

* Occupational Employment and Wages, May 2020 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?

[ ] 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? Polling questions will be presented to all attendees of the ICARE Dialogues program.


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


4

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2023-08-26

© 2024 OMB.report | Privacy Policy