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:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
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:
Is personally identifiable information (PII) collected? [ ] Yes [ X ] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No
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
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
How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain
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)
File Type | application/msword |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
Last Modified By | Abdelmouti, Tawanda (NIH/NCI) [E] |
File Modified | 2015-12-07 |
File Created | 2015-12-07 |