Fast-Track Template

Request for Approval under the “Generic Clearance for the Collection of
Routine Customer Feedback” (OMB#: 0925-0648 ExpDate:03/2018)
TITLE OF INFORMATION COLLECTION:
NIH Office of Intramural Training & Education (OITE) – Management Boot Camp Feedback
PURPOSE:
The OITE has recognized a need in the NIH postdoctorate and graduate student communities to
improve leadership and management skills. The OITE has developed a set of workshops and
resources to help trainees to become better leaders and managers, deal with conflicts, and thrive
in a team environment. The topics have all been developed with a focus on science, using
examples taken straight from research groups. The OITE wishes to obtain feedback from the
participating trainees to ensure all needs to become a better manager are being met.
DESCRIPTION OF RESPONDENTS:
The NIH/OITE will request feedback from participants of the Management Boot Camp, which is
restricted to graduate students and postdoctorates of the NIH Intramural Research Program:
• Graduate Partnerships Program (GPP) – NIH trainees who performed dissertation
research towards a PhD, MD/PhD, DVM/PhD or equivalent postgraduate degree
• Postdoctorate Training Program (PDT) – NIH trainees already awarded an advanced
degree, such as PhD, MD, DVM or equivalent who were classified as an IRTA/CRTA
Visiting Fellow, Clinical Fellow, or Research Fellow
NIH trainees are individuals that receive support for career development from the NIH in one or
more of the following areas: research support, stipend, health insurance, and/or tuition.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software
[ ] Focus Group

[X] Customer Satisfaction Survey
[ ] Small Discussion 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: Patricia Wagner, PhD wagnerpa@od.nih.gov; 240-476-3619
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

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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
The Hourly Wage Rate was estimated based on the NIH Trainee Stipend Tables and distribution
of trainee type using the Career Service Center within the year 2015. Details about the NIH
Trainee Stipend tables may be found at: https://oma1.od.nih.gov/manualchapters/person/2300320-7/.

Category of Respondent
Individual (NIH Trainees)
Totals

No. of
Time per Total
No. of
Responses per Response Burden
Respondents Respondent
(in hours) Hours
90
1
3 / 60
5
90
90
5

Category of Respondent
Individual (NIH Trainees)
Totals

Total Burden Hourly Wage Total
Hours
Rate*
Burden Cost
5
$25.00
$125.00
5
$125.00

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/payleave/salaries-wages/salary-tables/pdf/2016/DCB.pdf.

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Staff
Federal Oversight
G14-S05
Title 42
Contractor Cost
~
Travel
Other Cost
Total Cost

% of
Effort

Grade/Step

Salary

G14-S05
Title 42

$123,406.00
$165,000.00
~
~
~
~

Fringe (if
applicable)

Total Cost
to Gov’t

0.10%
0.10%

~
~

$124.00
$165.00

~
~
~
~

~
~
~
~

~
~
~
$289.00

~
~
~
~

FEDERAL COST: The estimated annual cost to the Federal government is $289.00.
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?
The OITE will ask all participants of the Management Boot Camp to complete the
feedback form about their experience.
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
2. Will interviewers or facilitators be used? [ ] Yes [X] No

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