Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”
(OMB#: 0925-0642 Expiration Date: 03/31/2026)
The purpose of this survey is to get a pulse on the perceptions from NCI CBIIT staff on our existing internal communication channels, as well as to get feedback on their preferences for new activities. Findings from this survey will help CBIIT understand which internal activities are most useful to the organization.
The survey will be sent to all CBIIT federal employees, contractors, fellows, and volunteers.
[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey
[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group
[ ] Focus Group [ ] Other:
I certify the following to be true:
The collection is voluntary.
The collection is a low burden for respondents and a 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 to inform effective policy decisions substantially.
The collection is targeted to soliciting opinions from respondents who have experience with the program or may have experience with the program in the future.
Name: Abigail Joyce
To assist review, please answer the following question: If you collect names and emails, check yes for PII.
Is personally identifiable information (PII) collected? [ ] Yes [X] No
If Yes, is the information that will be collected included in records subject to the Privacy Act of 1974? [ ] Yes [ ] No
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, a token of appreciation) provided to participants? [ ] Yes [ X ] No
Amount:
The explanation for incentive: (include the number of visits, etc.)
Category of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Time per Response (in hours) |
Total Burden Hours |
Individuals |
824 |
1 |
4/60 |
55 |
Totals |
|
824 |
|
55 |
Category of Respondent |
Total Burden Hours |
Wage Rate* |
Total Burden Cost |
Individuals |
55 |
$45.80 |
$ 2,519.00 |
Total |
|
|
$ 2,519.00 |
*Source of the mean Hourly Wage Rate is provided by the Bureau of Labor Statistics by averaging the following Occupation titles; Computer Support Specialist, 15-1230 at $29.11, Computer and Information Research Scientists, 15-1221 at $68.58, and Business and Financial Operations Occupations, 13-0000 at $39.72. https://www.bls.gov/oes/2021/May/oes_nat.htm#.
FEDERAL COST: The estimated annual cost to the Federal government is $631.04.
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Technical Writer |
13/7 |
134,416 |
0.0029 |
|
$389.81 |
Contractor Cost |
|
58,836 |
0.0041 |
|
$241.23 |
Travel |
|
|
|
|
$0 |
Other Cost |
|
|
|
|
$0 |
Total |
|
|
|
|
$631.04 |
**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/23Tables/html/DCB.aspx
If you are conducting a focus group or 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?
[X] Yes [ ] No
If yes, please describe both below (or attach the sampling plan). If the answer is no, please tell how you plan to identify your potential group of respondents and how you will select them.
We have a CBIIT staff list with email addresses. The whole population of this category of staff will be sent this survey.
Administration of the Instrument
How will you collect the information? (Check all that apply)
[X] Web-based or other forms of social media
[ ] Telephone
[ ] In-person
[X] Survey Form
[ ] Chart Abstraction
[ ] Other, Explain
2. Will interviewers, facilitators, or research coordinators be used? [] Yes [X] No
Please ensure all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kreinbrink, Diane (NIH/NCI) [E] |
File Modified | 0000-00-00 |
File Created | 2023-09-02 |