Information Collection Request

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

ICR 201702-0925-001 · OMB 0925-0642 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Information Gathering for Employee Wellness Program Needs (NCI) Form New Repair queued
Form 2 Child Care Needs Survey (NCI) Form and Instruction New Available
Form 1 Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research Form New Repair queued
Form 1 Healthcare Teams Cyber Discussion Feedback Survey (NCI) Form and Instruction New Available
Form 1 CBIIT Service Now Customer Satisfaction Survey (NCI) Form New Available
Form 1 Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) Form New Available
Form 1 Grants and Grantsmanship Workshop Survey Form New Available
Form 1 Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract Form New Repair queued
Form 1 Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) Form New Repair queued
Form 1 Hallway Interviews about myNCI with NCI staff (NCI) Form and Instruction New Available
Form 1 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) Form New Available
Form 1 NCI CPFP Summer Curriculum Focus Group Survey Form New Available
Form 1 Implementation Science (IS) at a Glance (NCI) Form New Available
Form 1 NCI CPFP Follow-Up Summer Curriculum Survey Form New Repair queued
Form 1 NCI CPFP End of Course Summer Curriculum Survey Form New Repair queued
Form 1 NCI CPFP Daily Summer Curriculum Survey Form New Repair queued
Form 1 Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) Form New Repair queued
Form 1 2018 NCORP Annual Meeting Assessment and Feedback (NCI) Form New Available
Form 1 Assessment of 2018 HINTS Data Users Conference (NCI) Form New Available
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) Form New Available
Form 1 NCI Digital Communications University (DCU) Survey Form New Repair queued
Form 1 Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) Form and Instruction New Repair queued
Form 1 EXPOSE Alumni Survey Fast track (NCI) Form New Repair queued
Form 1 NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey Form and Instruction New Available
Form 1 ASA24 Customer Satisfaction Survey (NCI) Form New Repair queued
Form 1 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey Form New Available
Form 1 Pre-meeting Survey for the NCI Cohort Consortium Form and Instruction New Repair queued
Form 1 NCI OFSM Shuttle Special Service Form New Available
Form 1 NIH Events Management – Post Production Survey Form and Instruction New Available
Form 1 NIH Events Management – Video Production Survey Form and Instruction New Repair queued
Form 1 NIH Events Management – Scheduling Services Survey Form and Instruction New Available
Form 1 NIH Events Management – Audio Visual Survey Form and Instruction New Available
Form 1 2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey Form New Available
Form 1 Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting Form and Instruction New Available
Form 1 Rockledge 1 and 2 Furniture Mockup Feedback Form and Instruction New Available
Form 1 2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback Form and Instruction New Available
Form 1 NCI OSFM Relocation Survey - Lab Form New Available
Form 1 NCI OSFM Express Services Survey Form New Repair queued
Form 1 NCI OSFM Conference Room Services Survey Form New Available
Form 1 NCI OSFM Fitness Center Survey Form New Available
Form 1 NCI OSFM Small Little Job (SLJ) Survey Form New Available
Form 1 NCI OSFM Relocation Survey- Office Form and Instruction New Repair queued
Form 1 CTSU Multi-Group Audit (MGA) Feedback Surveys Form New Available
Form 1 2nd RAS Initiative Symposium Feedback Survey Form New Repair queued
Form 1 Customer Satisfaction Surveys for CBIIT Solutions Website Form New Available
Form 1 Healthcare Delivery Research Program Communications Evaluation Survey Form New Repair queued
Form 1 Voice of Customer (VoC) Surveys for CBITT's Website Form New Available
Form 1 Survey of Customer Satisfaction for DCCPS Fellows Form New Repair queued
Form 1 NCI Healthcare Teams Cyber Discussion Feedback Survey Form New Available
Form 4 voice of Customer (VoC) surveys for NCI's cancer.gov Form New Available
Form 1 Customer Satisfaction Survey for CBIIT's Newsletter and Intranet Form New Available
Form 1 Customer Satisfaction Survey for CBIIT Events Form New Available
Form 1 2017 NCORP Annual Meeting Assessment and Feedback Form New Available
Form 1 NCI OFSM Customer Satisfaction Survey Form New Available
Form 1 NCEF Survey for Program Operations Form New Repair queued
SSA NCI Fast Track.docx Supporting Statement A Uploaded 2017-03-07 Repair queued
30dayFRN2017-04254.pdf Supplementary Document Uploaded 2017-03-07 Repair queued
Attachment 2.docx Supplementary Document Uploaded 2017-02-16 Repair queued
Attachment 1.doc Supplementary Document Uploaded 2017-02-16 Available
SSB NCI Fast Track.docx Supporting Statement B Uploaded 2017-02-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
235381 Information Gathering for Employee Wellness Program Needs (NCI) Form New
234752 Child Care Needs Survey (NCI) Form and Instruction New
234735 Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research Form New
234680 Healthcare Teams Cyber Discussion Feedback Survey (NCI) Form and Instruction New
234408 CBIIT Service Now Customer Satisfaction Survey (NCI) Form New
234354 Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) Form New
234180 Grants and Grantsmanship Workshop Survey Form New
234177 Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract Form New
234118 Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) Form New
234093 Hallway Interviews about myNCI with NCI staff (NCI) Form and Instruction New
233462 Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) Form New
233058 NCI CPFP Summer Curriculum Focus Group Survey Form New
233018 Implementation Science (IS) at a Glance (NCI) Form New
232953 NCI CPFP Follow-Up Summer Curriculum Survey Form New
232927 NCI CPFP End of Course Summer Curriculum Survey Form New
232895 NCI CPFP Daily Summer Curriculum Survey Form New
232893 Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) Form New
232828 2018 NCORP Annual Meeting Assessment and Feedback (NCI) Form New
232807 Assessment of 2018 HINTS Data Users Conference (NCI) Form New
232684 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) Form New
232300 NCI Digital Communications University (DCU) Survey Form New
232218 Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) Form and Instruction New
232110 EXPOSE Alumni Survey Fast track (NCI) Form New
232107 NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey Form and Instruction New
231817 ASA24 Customer Satisfaction Survey (NCI) Form New
231794 Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey Form New
231476 Pre-meeting Survey for the NCI Cohort Consortium Form and Instruction New
231320 NCI OFSM Shuttle Special Service Form New
231134 NIH Events Management – Post Production Survey Form and Instruction New
231125 NIH Events Management – Video Production Survey Form and Instruction New
231124 NIH Events Management – Scheduling Services Survey Form and Instruction New
231123 NIH Events Management – Audio Visual Survey Form and Instruction New
231107 2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey Form New
231106 Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting Form and Instruction New
230939 Rockledge 1 and 2 Furniture Mockup Feedback Form and Instruction New
230862 2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback Form and Instruction New
230790 NCI OSFM Relocation Survey - Lab Form New
230789 NCI OSFM Express Services Survey Form New
230788 NCI OSFM Conference Room Services Survey Form New
230785 NCI OSFM Fitness Center Survey Form New
230782 NCI OSFM Small Little Job (SLJ) Survey Form New
230775 NCI OSFM Relocation Survey- Office Form and Instruction New
230057 CTSU Multi-Group Audit (MGA) Feedback Surveys Form New
229810 2nd RAS Initiative Symposium Feedback Survey Form New
229239 Customer Satisfaction Surveys for CBIIT Solutions Website Form New
229112 Healthcare Delivery Research Program Communications Evaluation Survey Form New
228803 Voice of Customer (VoC) Surveys for CBITT's Website Form New
228535 Survey of Customer Satisfaction for DCCPS Fellows Form New
228406 NCI Healthcare Teams Cyber Discussion Feedback Survey Form New
228151 voice of Customer (VoC) surveys for NCI's cancer.gov Form New
228043 Customer Satisfaction Survey for CBIIT's Newsletter and Intranet Form New
228029 Customer Satisfaction Survey for CBIIT Events Form New
227901 2017 NCORP Annual Meeting Assessment and Feedback Form New
227788 NCI OFSM Customer Satisfaction Survey Form New
227333 NCEF Survey for Program Operations Form New
ICR Details
0925-0642 201702-0925-001
Historical Active 201406-0925-004
HHS/NIH
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Revision of a currently approved collection   No
Regular
Approved without change 05/02/2017
Retrieve Notice of Action (NOA) 03/08/2017
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
05/31/2020 36 Months From Approved 08/31/2017
49,500 0 19,500
26,751 0 26,250
0 0 0

This generic has provided information about the National Cancer Institute’s 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. It has also allowed feedback to contribute directly to the improvement of program management. Feedback collected under this generic clearance provides useful information but it does not yield data that can be generalized to the overall population.

EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  
None

Not associated with rulemaking

  81 FR 89954 12/13/2016
82 FR 12616 03/06/2017
No

55
IC Title Form No. Form Name
Voice of Customer (VoC) Surveys for CBITT's Website 1 CBIIT Survey Screenshots
NCI OSFM Small Little Job (SLJ) Survey 1 Small Little Job survey
CBIIT Service Now Customer Satisfaction Survey (NCI) 1 Service Now Survey
Child Care Needs Survey (NCI) 2, 1 listening session guiding questions ,   Childcare study survey
NCEF Survey for Program Operations 1 Customer Survey
2017 NCORP Annual Meeting Assessment and Feedback 1 SurveyMonkey for NCORP
Cancer Prevention Fellowship Program (CPFP) Fellows by Fellows Annual Survey (NCI) 1, 2 CPF Survey 2018 First Year Fellows ,   CPF Survey 2018 Senior Fellows
Participant Feedback on 2018 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting 1 SPARC Survey Money Screenshots 2018 SPARC Symp Survey
Pre-meeting Survey for the NCI Cohort Consortium 1 screenshots - Survey Cohort Consortium
NCI CPFP Follow-Up Summer Curriculum Survey 1 Summer Curriculum Program Follow-Up Survey
NCI CPFP End of Course Summer Curriculum Survey 1 End of Course Summer Curriculum Survey
Grants and Grantsmanship Workshop Survey 1 CPFP Grants Workshop Evaluation
Scientific Library Support Survey at the National Cancer Institute at Frederick (NCI) 1 NCIat Frederick-SciLibrary Survey 2018
Information Gathering for Employee Wellness Program Needs (NCI) 1 Wellness Survey Questionns
NCI Healthcare Teams Cyber Discussion Feedback Survey 1 Post-Event Survey: NCI Healthcare Teams Cyberdiscussion: Feedback
Customer Satisfaction Survey for CBIIT's Newsletter and Intranet 1 Survey
NIH Events Management – Post Production Survey 1 Post Production Burden
EXPOSE Alumni Survey Fast track (NCI) 1 EXPOSE Alumni Survey
Cancer Prevention Fellowship Program (CPFP) Fellows Research Meeting (FRM) Speaker Survey (NCI) 1 FRM Fellow Survey Form
Implementation Science (IS) at a Glance (NCI) 1 IS Survey Screenshots
Customer Satisfaction Survey for CBIIT Events 1 CBIIT Event Survey
NCI OFSM Shuttle Special Service 1 Shuttle Special
NIH Events Management – Audio Visual Survey 1 EM Audio Visual Burden
NCI Explore On Site (EXPOSE) Pre-and Post- Customer Satisfaction Survey 1, 1 EXPOSE PRE-SURVEY ,   EXPOSE POST SURVEY
ASA24 Customer Satisfaction Survey (NCI) 1 ASA24 User Survey
NCI CPFP Summer Curriculum Focus Group Survey 1 Focus Group Question
NCI OSFM Fitness Center Survey 1 Fitness survey
Customer Satisfaction Surveys for CBIIT Solutions Website 1 CBIIT Soultions Survey
NCI OSFM Relocation Survey - Lab 1 Lab relocation survey
2nd RAS Initiative Symposium Feedback Survey 1 2nd RAS survey questions
Rockledge 1 and 2 Furniture Mockup Feedback 1 Mockup Furniture Survey Card
2018 NCORP Annual Meeting Assessment and Feedback (NCI) 1 2018 NCORP Annual Meeting Planning Survey
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Poll (NCI) 1 EGRP SeqSPACE Webinar Survey
Cancer Prevention Fellowship Program (CPFP) Speaking About Science Workshop Survey (NCI) 1 Speaking About Science Workshop
Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI) 1 6.1 Special Fitness Survey
Hallway Interviews about myNCI with NCI staff (NCI) 1 myNCI Hallway Interview Guide
voice of Customer (VoC) surveys for NCI's cancer.gov 1, 2, 3, 4 Content WRX Survey ,   Page Level Surey ,   Exit Survey ,   Clinical Trials Search Survey
Healthcare Delivery Research Program Communications Evaluation Survey 1 HDRP Survey
NCI OSFM Express Services Survey 1 Express services survey
NCI OSFM Conference Room Services Survey 1 Conference survey
2018 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Post-Conference Feedback Survey 1 2018 BRAIN PI meeting
Epidemiology and Genomics Research Program (EGRP) SeqSPACE Webinar Survey 1 SeqSPACE survey question screenshots
NIH Events Management – Scheduling Services Survey 1 Scheduling Burden
CTSU Multi-Group Audit (MGA) Feedback Surveys 1, 2 MGA Feedback Survey AUDIT Staff screenshots ,   MGA Feedback Survey SITE Staff screenshots
NIH Events Management – Video Production Survey 1 Video Production Survey
Assessment of 2018 HINTS Data Users Conference (NCI) 1 HINTS survey
NCI OFSM Customer Satisfaction Survey 1 Shuttle Survey
Survey of Customer Satisfaction for DCCPS Fellows 1 Survey
2018 NCORP Annual Meeting Pre- Meeting Evaluation and Feedback 1 2018 NCORP Annual Meeting Planning Survey
NCI OSFM Relocation Survey- Office 1 Data Collection Instrument
NCI CPFP Daily Summer Curriculum Survey 1 CPFP NCI Summer Curriculum Daily Survey
NCI Digital Communications University (DCU) Survey 1 DCU Survey Screenshots
Requirement Gather for Media at National Cancer Institute (NCI) at Frederick Contract 1 Screenshot for Media Survey
Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research 1 Screenshot from survey to inform Workshop discussion
Healthcare Teams Cyber Discussion Feedback Survey (NCI) 1 Healthcare Teams CD Survey

  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 49,500 19,500 0 30,000 0 0
Annual Time Burden (Hours) 26,751 26,250 0 501 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a revision. The changes proposed in this information collection revolve around the burden. The overall burden has increased by 167 hours. This is the difference of the previously approved 8,750 minus the proposed, 8,917. The total number of respondents has increased by 10,000 from 6,500 to 16,500. This increase is to account for for the increased survey activities that are planned. The overall 3 year burden has increased by 501.

$300,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tawanda Abdelmouti 240 276-5530 [email protected]

  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.
03/08/2017