CSR New Chair Orientation

CSRNewChairOrientation_20180612.doc

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

CSR New Chair Orientation

OMB: 0925-0648

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., 05/2021)

T ITLE OF INFORMATION COLLECTION: CSR New Chair Orientation Survey


PURPOSE: The Center for Scientific Review (CSR) is holding New Chair Orientations to familiarize all incoming new chairs with their new role.


The CSR New Chair Orientation Survey is seeking feedback from the attendees on how well the session components enabled the attendees to serve as a CSR Study Section Chair.



DESCRIPTION OF RESPONDENTS: Respondents will be approximately 100 new CSR Study Section chairs and are most likely faculty of higher institutions.



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: Organizer feedback


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: Amanda Manning


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [X] Yes [ ] No

  2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [X] 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


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per

Response

(in hours)

Total Burden

Hours

CSR Reviewers (Individuals)

100

5

1/60

8






Totals

100

500


8



Category of Respondent


Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

CSR Reviewers

8

$35.06

$280.48





Totals



$280.48


*Cite source per bls.gov if applicable



FEDERAL COST: The estimated annual cost to the Federal government is $800.00


Staff


Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Program Analyst

GS-13

125,000

0.2%


$250.00

Health Science Administrator

GS-15

150,000

0.2%


$300.00







Contractor Cost


125,000

0.2%


$250.00







Travel






Other Cost












Total





$800.00




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? [ ] 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




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File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
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File Modified2018-06-12
File Created2018-06-12

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