fast track for CIT Training Assessment

CIT TTP Customer Satisfaction Survey Fast Track Template.docx

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

fast track for CIT Training Assessment

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: 06/30/24)

Shape1 TITLE OF INFORMATION COLLECTION: NIHCIT Technology Training Program Course Assessment


PURPOSE:


CIT surveys its customers, federal employees and contract staff, to understand their level of satisfaction with the services and support CIT provided to them. CIT uses the information to help improve delivery of training sessions to its customers.



DESCRIPTION OF RESPONDENTS:


The recipients of these surveys are NIH staff, federal and contract.



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: ______________________



FREQUENCY OF REPORTING:


[ ] Once [ ] Quarterly

[ ] Monthly [ X] On Occasion

[ ] Annually [ ] 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: Malissa Ross________


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

40,000

1

5/60

3,333






Totals


40,000


3,333



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals and Households

3,333

$28.01

$93,357





Total



$93,357

*http://www.bls.gov/oes/May/2021/oes_nat.htm#00-0000




FEDERAL COST: The estimated annual cost to the Federal government is _$163__


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Branch Chief

15/04

163,333

.01


$163













Contractor Cost





0







Travel





0

Other Cost





0







Total





$163

* Salary 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

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