Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 06/30/2024)
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
All recipients of an NIH Director's Awards
TYPE OF COLLECTION: (Check one)
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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: Sheila A. Verges-Osuna
To assist review, please provide answers to the following question:
Personally Identifiable Information:
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If Yes, is the information that will be collected included in records that are subject to the
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Gifts or Payments:
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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 |
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Totals |
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1924 |
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128 |
Category of Respondent |
Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
NIH Director’s Awards Awardees |
128 |
$28.01 |
$3,585 |
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Totals |
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$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 |
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Program Manager |
13/1 |
$106,823 |
1% |
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$1,068.23 |
Intern |
6/1 |
$45,574 |
2% |
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$911.48 |
Section Chief |
14/4 |
$138,856 |
.005% |
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$694.28 |
Travel |
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Other Cost |
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Total |
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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
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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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
How will you collect the information? (Check all that apply)
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Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
File Modified | 0000-00-00 |
File Created | 2023-08-28 |