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

ICR 201512-0925-005

OMB: 0925-0668

Federal Form Document

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Supporting Statement A
2016-02-19
Supplementary Document
2015-12-23
Supplementary Document
2015-12-23
Supplementary Document
2015-12-23
Supporting Statement B
2015-12-23
IC Document Collections
IC ID
Document
Title
Status
234768 New
233034 New
233033 New
233032 New
233031 New
233027 New
233026 New
233006 New
233005 New
231484 New
230903 New
230901 New
228819 New
227579 New
226558 New
225996 New
225442 New
225320 New
220902 New
220550 New
220472 New
220212 New
ICR Details
0925-0668 201512-0925-005
Historical Active 201212-0925-001
HHS/NIH
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)
Extension without change of a currently approved collection   No
Regular
Approved with change 02/19/2016
Retrieve Notice of Action (NOA) 12/29/2015
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request
  Inventory as of this Action Requested Previously Approved
02/28/2019 36 Months From Approved 02/29/2016
14,175 0 28,000
7,530 0 48,300
0 0 0

This collection of information is necessary to enable NIAID to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  80 FR 59168 10/01/2015
80 FR 79349 12/21/2015
No

22
IC Title Form No. Form Name
PREVAIL Scientific Writing Workshop 1 Liberia Writing Workshop screenshot
U.S.-Georgia Scientific Writing Workshop (NIAID) 1 Georgia Writing Workshop Feedback Form
NIAID ClinRegs - Private Sector 1, 2 ClinRegs Focus Group ,   ClinRegs Survey screenshot
DMID Order-It Customer Satisfaction Survey (Private sector) 1 Order It Survey
Intranet "Was This Page Helpful (WTHP)?" Customer Feedback Survey (Federal) (NIAID) 1 Inside-WTPH-survey screenshot
User Feedback on NIAID's ClinRegs Website 1 ClinRegs Data Collection Screen Shots
Ethnographic Market Research - Expert in-depth Interviews (IDIs) - Customer feedback (NIAID) 1, 2, 3 ABL Project Sasha fierce Expert IDI DG ,   ABL Project Sasha Fierce NGO IDI DG ,   ABL Project Sasha Fierce Social worker IDI DG
The National Institutes of Health (NIH) Commons Credits Pilot Secondary Metrics Survey (NIAID) 1 NIH Commons Credits Pilot Screenshots
NIAID ClinRegs - Federal Government 1, 2 ClinRegs Survey screenshot ,   ClinRegs -focus group
Intramural NIAID Research Opportunities (INRO) Satisfaction Survey 1 INRO Participant Survey screenshot
DMID Order-It Customer Satisfaction Survey (Federal) (NIAID) 1 Order It Survey
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Federal) 1 WWW-WTHP survey screenshot
Program -19th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1 USJCP Meeting Feb 2017
U.S.-Japan Cooperative Medical Science Program (USJCMSP) - 20th International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim 1 Post Conference Feedback screenshot
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1 IVN-WTPH-Survey Screenshot
Intranet Version Next "Was This Page Helpful (IVN WTPH)?" Customer Feedback Survey (Federal) (NIAID) 1 IVN-WTPH-survey screenshot
Web based Customer Satisfaction form for collecting feedback on NIH/NIAID/DAIDS Clinical Quality Assurance Process 1 Attachment 1 DAIDS cQMP
Intranet "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) (NIAID) 1 Inside-WTHP survey screenshots
National Institute of Allergy and Infectious Diseases "Was This Page Helpful (WTPH)?" Customer Feedback Survey (Individuals) 1 WWW-WTPH survey screenshot
Communicable Disease Research: The Foundation of Global Health Policy and Practice Conference Survey 1 NIAID CUGH Survey Screenshots
Patient Satisfaction Questionnaire 1, 2 Home Questionaire ,   NIH Questionaire
U.S.-Japan Cooperative Medical Science Program (USJCMSP) – 21st International Conference on Emerging Infectious Diseases (EID) in the Pacific Rim (NIAID) 1 Post Conference Assessment--USJCMSP2019 screenshot

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,175 28,000 0 -13,825 0 0
Annual Time Burden (Hours) 7,530 48,300 0 -40,770 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This is a request for an extension without change for 0925-0668 – Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID). There are no changes to the purpose/scope of this submission from the previously approved submission. The annual burden hours have been decreased from 48,000 to more accurately reflect anticipated usage. During the first 3 years, NIAID utilized 2,500 burden hours. In an effort to improve usage of the renewal, NIAID has increased awareness of the customer service generic through presentations at multiple Institute-wide forums and utilization of the InsideNIAID electronic newsletter. Based on the interest generated we anticipate using closer to 7530 burden hours at the end of the 3 years.

$298,575
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tawanda Abdelmouti 240 276-5530 ta401@nih.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/29/2015


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