Fast Track Template

Template ORIP website survey_1.28.22.docx

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

Fast Track Template

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:

Office of Research Infrastructure Programs (ORIP) Website User Information Survey


PURPOSE:


The purpose this ORIP website user information survey is to obtain feedback to better understand the website users and their reasons for accessing the ORIP website. The survey will collect users’ self-identified title or position (e.g., researcher/principal investigator, graduate student, data scientist, veterinarian), frequency of accessing the ORIP website, and reason for accessing the website. The results of this survey will allow us to better understand who is coming to the ORIP website so that we can better tailor it to their information needs as we begin to explore a website redesign.


DESCRIPTION OF RESPONDENTS:


Respondents will be users of the ORIP public website.


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: Website User Information Survey


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: Desiree von Kollmar


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

1,000

1

2/60

33


Private sector

500

1

2/60

17

Federal government

400

1

2/60

13

Totals


1900


63



COST TO RESPONDENT


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals or households

33

$27.07

$893.31

Private sector

17

$27.07

$460.19

Federal government

13

$27.07

$351.91

Totals



$1,705.41

*BLS March 2020 National Occupational Employment and Wage Estimates, United States https://www.bls.gov/oes/current/oes_nat.htm#00-0000



FEDERAL COST: The estimated annual cost to the Federal government is ____$20,430____


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Health Scientist (COR of Contract)

14/6

$142,950

1%


$1,430







Contractor Cost






Web developer/data analyst


$100,000

9%


$9,000

Survey platform (CFI Group)


Flat Cost



$10,000

Total





$20,430

*The Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2020/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?


Respondents will be users accessing the ORIP website who click on the popup survey upon arrival and complete the questions.



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 Created2023-08-28

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