fast track for NIH Director's Award survey

fast track template- NIH Director's Awards Survey FINAL.docx

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

fast track for NIH Director's Award survey

OMB: 0925-0648

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Shape1 Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 06/30/2024)

TITLE OF INFORMATION COLLECTION: NIH Director's Awards Ceremony

PURPOSE:

The purpose of the survey is to assess the awardees’ satisfaction with the virtual ceremony website and get feedback that will help us improve future ceremonies


DESCRIPTION OF RESPONDENTS:



All recipients of an NIH Director's Awards


TYPE OF COLLECTION: (Check one)

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Customer Comment Card/Complaint Form Customer Satisfaction Survey Usability Testing (e.g., Website or Software Small Discussion Group

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Focus 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: Sheila A. Verges-Osuna


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



Personally Identifiable Information:

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    Is personally identifiable information (PII) collected? Yes No

  2. Shape14 Shape15 If Yes, is the information that will be collected included in records that are subject to the

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Privacy Act of 1974? Yes No

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    If Applicable, has a System or Records Notice been published? Yes No

Gifts or Payments:

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Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants?

ESTIMATED BURDEN HOURS and COSTS


Forms

Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per Response (in hours)

Total Burden Hours

Customer Satisfaction Survey


individuals

1924

1

4/60

128







Totals



1924


128


COST TO RESPONDENTS


Category of Respondent

Total Burden Hours

Hourly Wage Rate*

Total Burden Cost

NIH Director’s Awards Awardees

128

$28.01

$3,585





Totals



$3,585

*Cite source per bls.gov if applicable

The hourly rate for All occupations was obtained from https://www.bls.gov/oes/current/oes_nat.htm#00-0000



FEDERAL COST: The estimated annual cost to the Federal government is: $2,673.99





Staff



Grade/Step



Salary*


% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Program Manager

13/1

$106,823

1%


$1,068.23

Intern

6/1

$45,574

2%


$911.48

Section Chief

14/4

$138,856

.005%


$694.28

Travel






Other Cost












Total





2,673.99

**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/pay-leave/salaries-wages/salary-tables/pdf/2022/DCB.pdf



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. Shape27 Shape28 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?

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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?

List of all recipients of an NIH Director's Award

Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

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Web-based or other forms of Social Media Telephone

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In-person Mail

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Other, Explain


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    Will interviewers or facilitators be used? Yes No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2023-08-28

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