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

Forms and Documents

Document Name	Status
Form 1 T32 Program Assessment (NICHD) Form and Instruction	New
Form 1 9th Annual Meeting of T32 Trainees Post-Meeting Feedback (NICHD) Form	New
Form 1 Sumner J Yaffe Webinar Series Feedback (NICHD) Form	New
Form 1 Sumner J Yaffe Webinar Series Feedback June 2020 (NICHD) Form	New
Form 1 Sumner J Yaffe Webinar Series Feedback May 2020 (NICHD) Form	New
Form 1 Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD) Form and Instruction	New
Form 1 DASH Biospecimen 2019 Individuals (NICHD) Form	New
Form 1 DASH - Biospecimen Request Federal Goverment Survey (NICHD) Form	New
Form 1 DASH - Biospecimen Request Private Sector Survey (NICHD) Form	New
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (Private) Form	New
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (individuals) Form	New
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (federal) Form	New
30day FRN2017-24398.pdf Supplementary Document	2017-11-09
0925-0643_NICHD Fast Track Extension2_Attachment 2_List of Sub-Study Approvals.docx Supplementary Document	2017-11-02
0925-0643_NICHD Fast Track Extension2_Attachment 1_Generic Template.docx Supplementary Document	2017-11-02
0925-0643_NICHD Fast Track Extension2_SSB.docx Supporting Statement B	2017-11-02
0925-0643_NICHD Fast Track Extension2_SSA.docx Supporting Statement A	2017-11-02

IC Document Collections

IC ID	Document Title	Status
243272	T32 Program Assessment (NICHD) Form and Instruction	New
243209	9th Annual Meeting of T32 Trainees Post-Meeting Feedback (NICHD) Form	New
242636	Sumner J Yaffe Webinar Series Feedback (NICHD) Form	New
241936	Sumner J Yaffe Webinar Series Feedback June 2020 (NICHD) Form	New
241685	Sumner J Yaffe Webinar Series Feedback May 2020 (NICHD) Form	New
240267	Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD) Form and Instruction	New
237320	DASH Biospecimen 2019 Individuals (NICHD) Form	New
237319	DASH - Biospecimen Request Federal Goverment Survey (NICHD) Form	New
237318	DASH - Biospecimen Request Private Sector Survey (NICHD) Form	New
231937	NICHD DASH -Study Request and/or Study Submission Survey (Private) Form	New
231936	NICHD DASH -Study Request and/or Study Submission Survey (individuals) Form	New
231935	NICHD DASH -Study Request and/or Study Submission Survey (federal) Form	New

ICR Details

OMB Control No: 0925-0643	ICR Reference No: 201711-0925-003
Status: Active	Previous ICR Reference No: 201410-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/09/2018
	Date Received in OIRA: 11/13/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved
Responses	15,200	0	0
Time Burden (Hours)	4,950	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a reinstatement without change to the previously approved submission (0925-0643). There are no changes being requested for this submission. The information collection activity has garnered qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with the Administration’s commitment to improving service delivery. This generic has provided information about the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s (NICHD) customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Satisfaction
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 40778	08/28/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 52067	11/09/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

IC Title	Form No.	Form Name
NICHD DASH -Study Request and/or Study Submission Survey (individuals)	2, 1	NICHD DASH Submitter survey ,   NICHD DASH Study Requester Survey
9th Annual Meeting of T32 Trainees Post-Meeting Feedback (NICHD)	1	T32 TraineesMeeting
DASH - Biospecimen Request Federal Goverment Survey (NICHD)	1	DASH Biospecimen screenshot
Sumner J Yaffe Webinar Series Feedback May 2020 (NICHD)	1	Summer Yaffe Series May 2020 survey
NICHD DASH -Study Request and/or Study Submission Survey (Private)	1	NICHD DASH Study Requester survey
Sumner J Yaffe Webinar Series Feedback June 2020 (NICHD)	1	Summer Yaffe Series June 2020 survey
DASH Biospecimen 2019 Individuals (NICHD)	1	DASH Biospecimen screenshots
T32 Program Assessment (NICHD)	1	T32 survey
DASH - Biospecimen Request Private Sector Survey (NICHD)	1	DASH Biospecimen screenshots
Sumner J Yaffe Webinar Series Feedback (NICHD)	1	Summer Yaffe Series July 2020 survey
NICHD DASH -Study Request and/or Study Submission Survey (federal)	1	NICHD DASH Study Submitter survey
Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD)	1	Principles of PedPharm Survey

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ICR Summary of Burden

	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	15,200	0	0	15,200	0	0
Annual Time Burden (Hours)	4,950	0	0	4,950	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: A reinstatement is requested as NICHD has a continued need to solicit customer and stakeholder feedback in an efficient, timely manner, in accordance with the Administration’s commitment to improving service delivery. There are no changes to the purpose/scope of this submission from the previously approved submission. Additionally, there are no changes in the burden hours being requested.

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Annual Cost to Federal Government: $53,593

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/13/2017

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