Request for Approval under the “Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)”
(OMB#: 0925-0740 Expiration Date: 7/31/2022)
TITLE OF INFORMATION COLLECTION: Future of Cancer Health Economics Research Conference
PURPOSE:
The National Cancer Institute (NCI) Division of Cancer Control and Population Sciences (DCCPS) will host the Future of Cancer Health Economics Research Conference to learn more about gaps and unmet needs for performing health economics research focused on cancer; barriers and challenges to conducting cancer health economics research; and potential activities to support and enhance this field.
Questions regarding race and gender are asked for tracking purposes only – these categories are not mandatory fields, as indicated on the application form.
DESCRIPTION OF RESPONDENTS:
Scientists, Researchers, PIs, postdocs and academic
TYPE OF COLLECTION: (Check one)
[ ] Abstract [ X ] Application
[ ] Registration Form [ ] Other: ______________________
CERTIFICATION:
I certify the following to be true:
The collection is voluntary.
The collection is low burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
Name: Michael Halpern
To assist review, please provide answers to the following question:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [ X ] Yes [ ] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ X ] Yes [ ] No
Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No
Amount: _________
Explanation for incentive: (include number of visits, etc.)
ESTIMATED BURDEN HOURS and COSTS
Category of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Time per Response (in hours) |
Total Burden Hours |
Individuals |
100 |
1 |
5/60 |
8 |
Totals |
|
100 |
|
8 |
Category of Respondent |
Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
Individuals |
8 |
$46.95 |
$375.60 |
Total |
|
|
$375.60 |
*Source of the mean Hourly Wage Rate is provided by the Bureau of Labor Statistics, Occupation title “Medical Scientists” 19-1040, https://www.bls.gov/oes/2019/May/oes_nat.htm#00-0000.
FEDERAL COST: The estimated annual cost to the Federal government is $6,360.97.
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Program Director |
14/5 |
$137,491 |
1% |
|
$1,374.91 |
Communications Manager |
10/5 |
$74,303 |
2% |
|
$1,486.06 |
Contractor Cost |
|
|
|
|
$3,500 |
Travel |
|
|
|
|
$0 |
Other Cost |
|
|
|
|
$0 |
Total |
|
|
|
|
$6,360.97 |
**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/20Tables/html/DCB.aspx
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
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?
This conference is advertised through the HEROiC, the Interagency Consortium to Promote Health Economics Research on Cancer listserv.
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
[ ] Survey Form
[ ] Chart Abstraction
[ ] Other, Explain
Will interviewers, facilitators, or research coordinators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Schaefer, Jennifer |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |