Fast Track Template

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

TITLE OF INFORMATION COLLECTION: NIH Coursera Learning Program Satisfaction Survey

PURPOSE:

The NIH Coursera Learning Program was launched in 2020 and provides NIH staff and contractors with licenses to use the Coursera platform to take courses to improve their data science and other key work skills. This survey will collect input from program users to understand their satisfaction with the program, the effectiveness of the program in increasing users’ skills, and how the program could be improved to better support users. The results of this survey will help us improve our program and help us gain insight into best practices for maximizing learning in this type of setting, which we would disseminate to help other federal agencies and other groups interested in starting their own independent training program.

DESCRIPTION OF RESPONDENTS:

Respondents will be NIH staff or contractors who currently participate or previously participated in the NIH Coursera Learning Program.

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: ______________________

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:__Lisa Federer____________________________________________

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

Forms	Category of Respondent	No. of Respondents	No. of Responses per Respondent	Time per Response (in hours)	Total Burden Hours
Survey	Individuals	225	1	5/60 (	19
	Totals		225		19

COST TO RESPONDENT

Category of Respondent	Total Burden Hours	Hourly Wage Rate*	Total Burden Cost
Individuals (Life, Physical, and Social Science Occupations)	19	$38.15	$724.85
Totals			$724.85

* Sourced from https://www.bls.gov/oes/current/oes190000.htm

FEDERAL COST: The estimated annual cost to the Federal government is _$1,472.73______

Staff	Grade/Step	Salary*	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Librarian	GS 14/6	$147,272	1%		$1,472.72
Contractor Cost
Travel
Other Cost
Total					$1,472.72

*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? [X ] 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 and past users of the NIH Coursera Learning Program will be invited to complete the survey. While the distribution list contains 756 individuals, we do not expect to receive responses from everyone and estimate a 30% response rate.

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

2. 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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