Sub-Study Template

Request for Approval under the “Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)”

(OMB#: 0925-0740 Exp Date: 07/2022)

T ITLE OF INFORMATION COLLECTION:

Registration and scientific abstract collection for the 2020 High-Risk, High-Reward Research Symposium

PURPOSE:

The annual 2020 High-Risk, High-Reward Research (HRHR) Symposium brings together recipients of the NIH Director's Pioneer, New Innovator, Transformative Research, and Early Independence awards to share their groundbreaking research and discoveries. The symposium features scientific talks and posters from awardees and networking events.

Registration will be completed through an online conference registration form. A subset of HRHR awardee registrants will also submit a scientific abstract for a speaking slot or poster through an online abstract submission form. Abstracts will be reviewed, and the most scientifically relevant or exciting abstracts will be selected for speaking slots or posters at the symposium. The abstracts will be used to construct the symposium’s agenda.

DESCRIPTION OF RESPONDENTS:

Scientists, researchers, PIs, postdocs

TYPE OF COLLECTION: (Check all that applies)

[X] Abstract [ ] Application

[X] Registration Form [ ] 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.

Name:____Becky Miller___________________________________

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [X ] Yes [ ] No

2. 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 (Registration)	250	1	3/60	13
Individuals (Abstract)	110	1	2	220
Totals		360		233

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individuals	233	$46.36	$10,801.88
Totals			$10,801.88

*Occupational Employment and Wages, May 2018 (19-1042 Medical Scientists, Except Epidemiologists) – Mean hourly wage

FEDERAL COST: The estimated annual cost to the Federal government is _$8,495.10_____

Staff	Grade/Step	Salary*	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Health Scientist Administrator	GS-14/Step 3	$125,005	2		$2,500.10
Health Scientist Administrator	GS-15/Step 8	$166,500	3		$4,995.00
Contractor Cost					$1,000.00
Travel					$0
Other Cost					$0
Total					$8,495.10

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2019/DCB.pdf

The selection of 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?

All active grant awardees from the HRHR program will be invited to register and submit an abstract for the symposium. The symposium will be advertised through the HRHR listserv.

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

[ ] Survey form

[ ] Chart Abstraction

[ ] Other, Explain

2. 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.

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