NLM NCBI Health Resources Survey Fast Track

NLM NCBI Health Resources Survey_Fast Track ICR.doc

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

NLM NCBI Health Resources Survey Fast Track

OMB: 0925-0648

Document [doc]
Download: doc | pdf

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp. Date: 03/31/2018)

TITLE OF INFORMATION COLLECTION: NLM NCBI Health Resources Survey


PURPOSE:

To gain knowledge that can be used to improve the web experience of National Center for Biotechnology Information (NCBI) users of NLM health resource pages.


DESCRIPTION OF RESPONDENTS:

Respondents will be individuals who go to the NCBI ClinVar, GTR, or MedGen web pages, presumably to view or download NCBI clinical data. We wish to solicit customer feedback regarding features that would facilitate and improve the design and operation of these web resources.



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: Benjamin R. Busby_______________________________________________


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 [ X ] N/A


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

500

1

4/60

33 hrs.






Totals

500

500


33 hrs.



Category of Respondent


Total Burden

Hours

Wage Rate*

Total Burden Cost

Individuals or households

33.3

$22.71

$757.00





Totals





*Cite source per bls.gov if applicable


BLS National Occupational Employment and Wage Estimates

http://www.bls.gov/oes/current/oes_nat.htm#00-0000



FEDERAL COST: The estimated annual cost to the Federal government is: $103.50____


Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Staff Scientist (Genomics Outreach Coordinator)

T42

$96,000

.05%


$48.00

IRTA Postbaccalaureate

Postbac

$27,750

.20%


$55.50







Contractor Cost





N/A







Travel






Other Cost












Total





$103.50






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.

Attachment 1: NLM NCBI Health Resource Survey Instrument (screenshots)

3

File Typeapplication/msword
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
Last Modified ByAbdelmouti, Tawanda (NIH/NCI) [E]
File Modified2015-12-07
File Created2015-12-07

© 2024 OMB.report | Privacy Policy