View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0925-0648
ICR Reference No:
201802-0925-002
Status:
Historical Active
Previous ICR Reference No:
201501-0925-004
Agency/Subagency:
HHS/NIH
Agency Tracking No:
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/01/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/27/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2021
36 Months From Approved
04/30/2018
Responses
1,059,000
0
759,000
Time Burden (Hours)
147,999
0
148,074
Cost Burden (Dollars)
0
0
0
Abstract:
This collection of information is necessary to enable the National Institutes of Health 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.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 60754
12/22/2017
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 11219
03/14/2018
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
136
IC Title
Form No.
Form Name
Human Genetics Resource Center Publication Survey (NINDS)
1
NOVISurvey NINDS Publication Survey
NCBI 2019 Protein Resource Needs Survey (NLM)
1
NCBI 2019 Protein Resource Survey
"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey
1
Survey/Monkey
2018 NLM SIS Emerging Adults Health Needs Assessment
1
SIS Emerging Adults Focus Group Survey
2018 Train-the-Trainers (private) Feedback (OD)
1
2018 Train-the-Trainers Feedback form
2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS)
1
BRAIN PI Mtg - Event App Survey Screenshots
2019 CT.gov Website Usability Survey (NLM)
1
NLM 2019 CT Usability Survey
2019 Clin Var User Survey (NLM)
1
2019 ClinVar Survey
2019 DOCLINE User Satisfaction Survey (NLM)
1
DOCLINE Survey instrument
2019 Data Science Services Survey (NLM)
1
Data Science Survey
2019 Genetics Home Reference Survey (NLM)
1
GHR Survey Instrument
2019 NCBI BioProject/BioSample Survey (NLM)
1
NCBI BioProject BioSample Survey
2019 NLM ClinicalTrials.gov Website Survey
1
Clinical trials website survey
2019 NLM MedlinePlus Awareness Survey
1
MedlinePlus Survey Instrument
2019 Nonprofit Forum on-site meeting feedback (NINDS)
1
2019 Nonprofit Forum on-site meeting feedback survey
2019 Occupational Illness and Injury Prevention Survey (OD)
1
ED DOHS OIIP Survey screenshot
2019 PubMed User Satisfaction Survey (NLM)
1
PubMed User Survey Instrument
Alcohol Research Current Review Author Feedback phone call
1
NIAAA Author Feedback Call
Amgen-alumni WhereAreYouNow (OITE)
1
OMBFT-Amgen-Alumni-WhereAreYouNow
Assist User Experience
1
Assist User Experience
BYOMM After Action Report (NIMHD)
1
BYOMM After Action
Basic Electronic Survey to Inform Development of a Nursing Research Brochure
1, 1
Survey Screenshots
,
Survey Instrument
Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey
1
Retiree Survey
Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)
1
BYOMM KAB
CSR New Chair Orientation Survey
1
CSR New Chair Orientation
Change Readiness Survey (OD)
1
ChangeReadiness Survey screenshot
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS)
1
CHEAR Client Satisfaction survey
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)
1
CHEAR Client Satisfaction Survey
Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website
1
Innovative Clinical Trials Resource (ICTR) screenshot
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
1
DSEIS PRA Screenshots
Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey
1
DSSEM Application and Interview Survey
Division of Veterinary Resources Customer Satisfaction Survey (OD)
1
GDB screenhots
DrugAbuse.gov Website Feedback Survey
1
NIDA- Website Feedback Survey Screenshots
Editing Service Customer Feedback Survey (NIHL)
1
Survey
Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD)
1
HRHR Symposium Satisfaction Survey
Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD)
1
HRHR Symposium survey 2018
Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA)
1, 2
Navigator Screener Round 2
,
Physicians Moderator Guide
HMD 2018 Exhibition Program Web Usability Study
1
HMD 2018 Exhibition Web Usability Study Instrument
HMD 2018 Traveling Exhibition Host Survey
1
NLM HMD 2018 Traveling Exhibition Host Survey
HR Systems Support (HRSS) Customer Satisfaction Survey
1
NIH HRSS Customer Satisfaction Survey
Health Information Technology Patient Satisfaction Survey (CC)
1
Patient Portal Online Survey Screenshot
Health Science Data Needs Assessment (NLM)
1
Health Science Data Needs As survey instrument
Health Science Data Needs Assessment (NLM)
1
Health Science Data Needs Assessment
Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)
1
NIMH OFT Annual Trainee Survey Questions
KAI Data and Saftey Monitoring Meeting E
1
KAI Research Questions for NIAMS Customer Survey
Literature Search Customer Feedback Survey (NIH Library)
1
Literature Survey
Medicine: NIH Mind the Gap Webinar Series Survey II
1
MtG Customer Satisfaction Survey
NCBI 2017 Website User Survey
1
NCBI 2017 Website User Survey Instrument
NCBI 2018 Gene Resource Survey (NLM)
1
NCBI 2018 Gene Resource Survey Instrument
NCBI 2019 Genome Resource Survey (NLM)
1
NCBI 2019 Genome Survey
NCBI 2019 Identical Protein Groups (NLM)
1
NCBI IPG survey
NCBI 2019 Run Selector Survey (NLM)
1
NCBI Run Selector Survey Instrument
NCBI ClinVar 2017 Website User Survey (NLM)
1
NCBI ClinVar 2017 Survey instrument
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal)
1
PEPH Aware-Act-Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)
1
PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local)
1
PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector
1
PEPH Aware Act Use Survey
NIH IT Service Desk Customer Satisfaction Survey (CIT)
1
CIT Customer Satisfaction Survey Form
NIH Library Customer Satisfaction Survey
1
Survey with Burden Disclosure Statement
NIH Library Instruction Customer Feedback Survey (NCI)
1
NIH Library Screenshot
NIH Library Survey on Electronic Lab Notebook Usage in NIH Intramural Labs
1
ALivinski Library Survey Screenshots
NIH Office of Intramural Training & Education (OITE) - General Feedback Forms
2
General Feedback Collection form
NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback
1
Graduate & Professional School Fair Feedback Collection
NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback
1
Management Boot Camp form
NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback
1
NAVisit week Collection
NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium
1
Career Symposium Collection Form
NIH Office of Intramural Training & Education (OITE) Community College Day Feedback
1
Community College Day feedback
NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD)
1
Amgen Scholars Feedback survey
NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback
1
2018 Feedback Career Service Center
NIH On the Move Need Survey
1
LD PRA Screenshots On the Move
NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services
1, 2, 3
Telephone Service Customer Satisfaction survey
,
Email Service survey
,
Online Publication Ordering Survey
NIMH Website Survey
1
NIMH Website Survey Screenshots
NLM 2018 Exhibition Program Web Portal Usability Study (General Public)
1
NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector)
1
NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Public Libraries Association Survey
1
2018 Public Libraries Survey instrument
NLM 2018 UMLS User Satisfaction Survey
1
UMLS 2018 User Survey
NLM GeneEd User Survey
1
GeneEd User Survey
NLM MedlinePlus Website Usability Survey
1
User Survey Instrument NLM MedlinePlus Website
NLM NCBI 2018 BLAST Survey
1
NCBI 2018 Blast Survey
NLM NCBI 2018 Data Submission Survey
1
NCBI Submission Survey
NLM NCBI 2018 Genetics and Population Frequency Data Survey
1
NCBI 2018 Genetics and Population Frequency Data Survey
NLM NCBI 2018 Graphical Sequence Survey
1
Graphical Sequence Display Survey
NLM NCBI 2018 Literature Resources Survey
1
NCBI 2018 Literature Resources Survey
NLM NCBI 2018 Microbial Genome Resources Survey
1
NCBI Microbial Genome Resources Survey
NLM NCBI 2018 Population Frequency Data Survey
1
NLM NCBI 2018 Population Frequency Data Survey
NLM NCBI 2018 PubChem Resources Survey
1
NCBI 2018 PubChem Survey Instrument
NLM NCBI 2018 Representative Genomes Survey
1
NCBI 2018 Representative Genomes Survey
NLM NCBI 2018 Transcript Resources Survey
1
NCBI 2018 Transcript Resources Survey
NLM SIS Disaster Information Specialization Survey
1
DIS Survey Instrument
NLM Site-wide Survey for Website Satisfaction Rating 2019
1
NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Site-wide Survey for Website Satisfaction Rating 2019
1
NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Toxnet 2018 Workshop Survey
1
NLM TOXNET 2018 Workshop Survey instrument
NLM Traveling Exhibition Visitor Study
1
NLM Traveling Exhibition Visitor Survey
NLM Website Survey for Website Satisfaction Rating
1
NLM Website Survey Instrument
NLM Websites User Satisfaction 2018 Survey
1
NLM Websites Survey
National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35
2, 1
New Aud FG Attachment A Screnner
,
Guide New Aud Attachment B
National Institute of Mental Health (NIMH) Core Facility User Survey
1
NIMH Core User Survey template
National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form
1
2018 OPP Mtg Assessment Form
National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form
1
NIMH Professional Coalition for Research Progress Meeting Assessment Form
ODP Pathways to Prevention Workshop Survey III
1
P2P Post Survey Screenshots
ODP Pathways to Prevention survey
1
P2P Survey screenshots
OIT Training Customer Satisfaction Survey (OD)
1
OITBrownBag survey
ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS)
3, 1, 2
NCATS GARD RDD Test Plan
,
NCATS RaDaR RDD Test Plan
,
NCATS Toolkit RDD Test Plan
Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD)
1, 2
ODS Scholars Feedback Survey
,
ODS Administrative Supplement survey
Office of Human Resources (OHR) Climate Survey
1
2017 OHR Climate Survey
Office of Human Resources (OHR) Pulse Survey
1
OHR Pulse Survey
Office of Human Resources (OHR) Training Survey
1
P2P Survey Screenshots
Office of Intramural Training & Education (OITE) – How to Teach and Advise on Career Development Topics for the Next Generation of Biomedical Scientists: A Train-the-Trainers Event
1
2018 Train-the-Trainers- (Federal) Feedback form
Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM)
1, 2, 3
Evaluation Day 1 screenshot
,
Evaluation Day 2 screenshot
,
Evaluation Day 3 screenshot
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government)
1
PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households)
1
PEPH Aware Act Use Survey Final
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector)
1
PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)
1
PEPH Aware Act Use Survey Final
Pathways to Prevention - Non-profit
1
P2P Survey screenshots
Patient Perception Survey (CC)
1, 2
NIH Inpatient Mock-up - NRC Health
,
NIH Outpatient Mock-up -NRC Health
Pediatric Patient Perception Survey (CC)
1
NRC NIH Inpatient Pediatric Survey
Perception of Cool Down Day Survey
1
Cool Down Day BDS
Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS)
1
Equipment Survey
Quick Feedback Center for Scientific Review (QFCSR)
1
QFCSR Fall 2018
Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID)
1
Post WorkshopEvaluation --US-KZ AMR 2019 screenshots
Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD)
1
RML Family Care Survey Screenshot
SR Maximizing Value 3Month Post (ORS/OD)
1
KOliver Screenshots
Scientific Research (SR) Maximizing Value (ORS/OD)
1, 2
Pre-Presentation Survey screenshot
,
Post-Presentation screenshot
Soliciting Feedback About the National Institutes of Health (NIH) Office of the Director (OD) Office of Research Services (ORS) Division of Occupational Health and Safety (DOHS) Website (OD)
1
DOHS survey screenshot
Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR)
1
ONSEN survey
Statistics Customer Feedback Survey (NIH Library)
1
Statistics CS Survey
Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR)
1
Survey
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students
1
STEP UP survey screenshot
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students
1
DSTRP survey instrument
Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID)
1
TTIPO Fellowship Survey screenshots
The Annual NIH Pain consortium Symposium Feedback
1
Pain 2015 Survey Monkey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar
1
FY2019 LRP Webinar Survey
The NINDS Public Site Widget
1
NINDS Public Site Widget screenshot
Website Survey for Website Satisfaction Rating (NIAAA)
1
NIAAA Website Survey Screenshot
WiTS Climate Survey 2015
1
2015 WiTS Climate Survey
Workflow information Tracking System (WiTS) Focus Groups
1
WiTS Focus Group Instrument
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
1,059,000
759,000
0
300,000
0
0
Annual Time Burden (Hours)
147,999
148,074
0
-75
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
there is a difference of -75 in the burden being requested due to mathematical computation from the previously, approved submission. Additionally, the number of responses has increased by 300,000 due to new requirements regarding the reporting of “Responses per Respondent.”
Annual Cost to Federal Government:
$350,000
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.
No
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
Agency Contact:
Tawanda Abdelmouti 240 276-5530 ta401@nih.gov
Common Form ICR:
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:
(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:
03/27/2018