fast track for Geron News Survey

NIA Geron News Fast Track Template.docx

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

fast track for Geron News 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 Exp., date: 06/30/2024)

Shape1 TITLE OF INFORMATION COLLECTION: Geron News Survey


PURPOSE: The purpose of the survey is to collect feedback from members of the NIA IRP community regarding the current format of the Geron News, an internal publication used to share information with staff, and for consideration in determining the future format of the publication and specific areas of interest. With the amount of information communicated on a daily basis via email, we often experience ‘information overload.’ We want to hear from all members of our NIA IRP community to improve communication using this as a tool to focus on specific areas of interest such as administrative highlights, scientific accomplishments, training opportunities, etc. The feedback will be considered by the NIA Scientific Director before implementing any changes.


DESCRIPTION OF RESPONDENTS: NIA IRP full time equivalent (FTE) federal employees and non-FTEs including contractors, trainees/fellows, guest researchers, and special volunteers.



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: Jamie Hertzfelt, Chief of Staff, OSD, IRP, NIA


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 [ X] 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

642

1

5/60

54






Totals


642


54


COST TO RESPONDENT


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

individuals

54

$27.07

$1,462





Totals



$1,462

* The General Public wage rate (Mean wage rate for “All Occupations”) was obtained from May 2020 National Occupational Employment and Wage Estimates (bls.gov).





FEDERAL COST: The estimated annual cost to the Federal government is $513


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight












Chief of Staff

14/7

$151,479

.1


$151

Program Specialist

13/2

$110,384

.1


$110







Contractor Cost






Admin Assistant III

N/A

$84,134**

.3


$252

Travel






Other Cost






Total





$513

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2022/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?



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

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 Created2023-08-26

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