T ITLE OF INFORMATION COLLECTION:
The NIH Director’s Blog Readership Survey
PURPOSE:
Each week, the NIH Director’s Blog highlights interesting, NIH-supported research advances for a broad readership. The blog will conduct its second online customer satisfaction survey. The results will provide useful information about how best to serve our readership, bolster our understanding of its needs and preferences, and allow us to fine-tune our communication strategies. The survey will run on the NIH Director’s Blog until a total of 1,000 responses are collected, and the data will be integrated into our Google Analytics report.
DESCRIPTION OF RESPONDENTS:
The respondents are readers of the NIH Director’s Blog. The readership may include, but is not limited to, those with health concerns, researchers, students, teachers, health care professionals, and members of the general public interested in science.
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: Robert J. Kuska, Writer/Editor, OCPL, OD
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
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 |
1,000 |
1 |
5/60 |
83 |
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Totals |
1,000 |
1000 |
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83 |
Category of Respondent
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Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
Individuals or Households |
83 |
$22.71 |
$1,884.93 |
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Totals |
83 |
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$1,884.93 |
*United States Department of Labor, Bureau of Labor Statistics (May 2014) National Occupational Employment and Wages by Major Occupational Group (All Occupations) – see http://www.bls.gov/oes/current/oes_nat.htm#00-0000
FEDERAL COST: The estimated annual cost to the Federal government is $6,161
Staff |
Grade/Step |
Salary |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
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Writer/Editor |
GS-13/10 |
$123,234 |
5% |
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$6,161 |
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Contractor Cost |
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Travel |
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Other Cost |
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Total |
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$6,161 |
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.
File Type | application/msword |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
Last Modified By | SYSTEM |
File Modified | 2017-12-14 |
File Created | 2017-12-14 |