Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050 )

TITLE OF INFORMATION COLLECTION:

CDC OneLab Summit Evaluation

PURPOSE:

CDC OneLab™ Summit is an annual free, three-day virtual summit that connects laboratory professionals in real time to support a unified response to laboratory training needs. OneLab Summit helps attendees improve their skills through training in technologies, learning and development tools, and practices. The collaborative environment connects peers in laboratory education and training to each other and to CDC.

There are four objectives of the OneLab Summit evaluation. The objectives are: 1) to understand how the OneLab Summit improved awareness of the CDC OneLab initiative, 2) to measure engagement among OneLab Summit attendees, 3) to measure the sustainability of OneLab Summit, and 4) to identify how sessions and resources highlighted in the Summit were relevant, useful, and timely. The OneLab Summit evaluation will allow DLS to better understand how the OneLab Summit cultivates and fosters learning, development, and collaboration among peers in the laboratory and testing community.

DESCRIPTION OF RESPONDENTS:

The respondents to the OneLab Summit post-event survey will include clinical and public health laboratory professionals, representatives with responsibility for education and training within major laboratory organizations (e.g., clinical and public health laboratories, large commercial laboratories, and manufacturers).

TYPE OF COLLECTION:

[ ] 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:Amber Eberhardt_

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 [ X ] No

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ X ] No (Not applicable)

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [ X ] No

BURDEN HOURS:

Category of Respondent	No. of Respondents	Participation Time (minutes/60)	Burden (hours)
Individuals or Households	854	10/60	142
Totals	854	10/60	142

FEDERAL COST: The estimated total annual cost to the Federal government is $40,400.40.

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? [X ] Yes [] No

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.

For the post-event survey, the project team will utilize OneLab Summit registration lists to identify survey respondents. Respondents will include approximately 854 individuals who are clinical and public health laboratory professionals, representatives with responsibility for education and training within major laboratory organizations (e.g., clinical and public health laboratories, large commercial laboratories, and manufacturers). An email invitation to participate in the survey will be sent with a link to all participants. All participants will be informed that participation in the survey is voluntary and no identifying information will be requested. The survey will remain open through 3 weeks after each OneLab Summit.

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

2. Will interviewers or facilitators be used? [ ] Yes [ X] No

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

Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g., Comment card for soliciting feedback on xxxx)

PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.

DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.

TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.

CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.

Personally Identifiable Information: Provide answers to the questions.

Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.

BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected.

No. of Respondents: Provide an estimate of the Number of respondents.

Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.

FEDERAL COST: Provide an estimate of the annual cost to the Federal government.

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. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.

Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.

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

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