Inside-WTHP fast track request (Federal)

Inside-WTPH-FastTrackRequest_FTE (1).doc

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

Inside-WTHP fast track request (Federal)

OMB: 0925-0668

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Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0668, Exp. date: 02/28/2019)

T ITLE OF INFORMATION COLLECTION:

National Institute of Allergy and Infectious Diseases Intranet “Was This Page Helpful (WTHP)?” Customer Feedback Survey

PURPOSE:

The NIAID Intranet website (http://inside.niaid.nih.gov) helps the Institute fulfill its mission by sharing the latest staffing and scientific research updates and opportunities. This survey will be offered on every page of the NIAID Intranet website and allow users to anonymously provide feedback about each page. NIAID will use this feedback to determine customer satisfaction and improve the website’s content and ensure the most helpful and up-to-date information is available to NIAID staff.

DESCRIPTION OF RESPONDENTS:

The voluntary survey participants will be NIAID staff, contractors, and all federal employee and contractor users within the NIH firewall who have access to the NIAID intranet website.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] 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: Allisen Stewart, NMWPB/OCGR/OD/NIAID

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

Personally Identifiable Information:

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

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

FTEs

150

1

2/60

5

Totals

150

150


5


Category of Respondent

Total Burden Hours

Hourly Wage Rate*

Total Burden Cost

FTE

5

$40.24

$201.20

Totals

5


$201.20

*Federal Executive Branch Median Salary –

https://www.bls.gov/oes/current/naics4_999100.htm



FEDERAL COST:

The estimated annual cost to the Federal government is: $533.34

Staff

Grade/Step

Salary

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Digital Information Specialist

13/4

$106,668

0.5%


$533.34

Contractor Cost






Travel






Other Cost






Total





$533.34

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2018/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. 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


  1. 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?

The survey participants will be NIAID website users who choose to respond to a web-based survey. The survey will be made available at the bottom of each web page. Users’ participation is voluntary.


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

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

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File Typeapplication/msword
File TitleInside WTPH Fast Track Request
SubjectFast Track Clearance Form
AuthorOD/USER
Last Modified BySYSTEM
File Modified2018-09-17
File Created2018-09-17

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