T ITLE OF INFORMATION COLLECTION:
Forecasting Science Survey
PURPOSE:
During the month of January/February 2018, the Scientific Resource Divisions of the U.S. National Institutes of Health Office of Research Resources (NIH ORS SR) are asking research scientists at the Intramural Research Program of the U.S. National Institutes of Health to participate in a survey that will help us determine research resource needs.
DESCRIPTION OF RESPONDENTS:
Research scientists of the Intramural Research Program of the U.S. National Institutes of Health, Department of Health and Human Services, including post-doctoral fellows, tenure-track and tenured scientists.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form [] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group
[ ] Focus Group [X] Other: Needs Assessment
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: Keith W. Cogdill, PhD, AHIP
Director
National Institutes of Health Library
Division of Library Services
Office of Research Services
Bldg. 10, 1L25F, MSC 1150
Bethesda, MD 20892-1150
(301) 496-2448
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 [X] 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 |
NIH Investigators |
385 |
1 |
20/60 |
128 |
|
|
|
|
|
Totals |
385 |
385 |
|
128 |
Category of Respondent
|
Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
Federal Employees & Post-Doctoral Fellows |
128 |
$50 |
$6400 |
|
|
|
|
Totals |
|
|
$6400 |
FEDERAL COST: The estimated annual cost to the Federal government is $17,036
Staff (position) |
Grade/Step |
Salary |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
NIH Library Division Director |
Grade 15/7 |
$158,123 |
.0048 |
|
$7,589 |
NIH Library Branch Chief |
Grade 14/5 |
$126,958 |
.0024 |
|
$3,047 |
Contractor Cost |
|
|
|
|
$6,400 |
|
|
|
|
|
|
|
|
|
|
|
|
Travel |
|
|
|
|
N/A |
Other Cost |
|
|
|
|
N/A |
|
|
|
|
|
|
Total |
|
|
|
|
$17,036 |
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? [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? We anticipate 385 respondents out of an estimated 4,173 possible. With that response level, we will achieve a 95% confidence level that the results represent the population as a whole. We will also compare relevant demographics of the whole population (4.173) with those of the respondents (385) as another measure of comparability of the respondents to the population as a whole.
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
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 |