fast track survey for PARS

Fast Track for PARS Survey (3).docx

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

fast track survey for PARS

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: PARS Customer Experience (CX) survey, “Your PARS Experience in 2022” (OD)



PURPOSE: The Human Resources Systems, Analytics, and Information Division (HR SAID) PARS Project Team would like to capture feedback from our customers, which will help us refine and improve our ability to deliver an exceptional customer experience. Each IC PARS recipient will have a survey link embedded in our email to allow customers the ability to submit feedback for our continuous improvement.



DESCRIPTION OF RESPONDENTS: Since the survey link is within our email signatures, potential respondents (our customers) who we correspond with via email will have the ability to take the survey. This includes NIH employees and potentially contractors and a few external customers outside of NIH. Strictly anonymous feedback will be from customers who voluntarily choose to participate in the survey. The survey will be accessible via a web-based survey link provided to registrants via email.



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: Meryl Gozarin


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

110

4

5/60

37

Totals

110

440


37


COST TO RESPONDENTS


Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals

37

$27.07

$1,002





Totals



$1,002

*Hourly Wage Rate is minimum wage for Maryland: http://www.ncsl.org/research/labor-and-employment/state-minimum-wage-chart.aspx ($11.75 effective 1/1/21)


FEDERAL COST: The estimated annual cost to the Federal government is $273.00.


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Management Analyst

13/5

116,850.00

.10%


$117

Management Analyst

13/8

127,885.00

.05%


$64

HR Specialist (Info Sys)

12/1

87,198.00

.05%


$44







Contractor Cost





0







Travel





0

Other Cost –

Survey Tool Licensing





$48







Total





$273

**The NIH Federal Employee and Contractor Salaries were estimated based on the locality pay for the DC-MD-VA-WV-PA salary table: 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? [ ] 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, 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.



5

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy