Change Request Justification Memo

NIDCD DERT Change Request Memo Jan 2019.docx

DERT Extramural Grantee Data Collection (NIEHS)

Change Request Justification Memo

OMB: 0925-0757

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DATE: February 13, 2019


TO: Dr. Julie Wise

Office of Management and Budget

Office of Information and Regulatory Affairs


FROM: Dr. Laura Cole

Planning and Evaluation Officer

National Institute on Deafness and Other Communication Disorders (NIDCD)


SUBJECT: Request for Change to the NIEHS DERT Extramural Data Collection (OMB Control No. 0925-0757, Expiration Date: 11/30/2021)


CC: Dr. Kelly King (NIDCD)



In lieu of requesting a new clearance for second simplified data collection form, we would like to request a change to the NIEHS Division of Extramural Research and Training (DERT) Extramural Grantee Data Collection (OMB Control No. 0925-0757, Expiration Date: 11/30/2021; Attachment A). NIDCD is one of the Institutes and Centers approved to use this form.


To minimize the data collection burden on grantees, we have created a simplified data collection form (Attachment B) that asks a defined set of sub-questions from our approved form (OMB Control No. 0925-0757, Expiration Date: 11/30/2021). We have also attached a document that connects the questions from the previously approved form to the new form (Attachment C).


We propose to send the new simplified form (Attachment B) to grantees supported by the NIDCD Accessible and Affordable Hearing Health Care program. All data submitted to NIDCD using the new form would be voluntary and all submitted forms would count towards our limit of 200 approved surveys per year.


The data provided to NIDCD Program Staff through this form will be used for several purposes:


The updated burden estimate table below includes a new row for the number of grantees who would use this shortened form.


A.12 – 1 Estimates of Annual Hour Burden

Type of Respondent

Number of Respondents

Frequency of Response

Average Time per Response

Annual Hour Burden

NICHD Grantee

200

1

30/60

100

NIMH Grantee

200

1

30/60

100

NINDS Grantee

200

1

30/60

100

NCI Grantee

400

1

30/60

200

NIEHS Grantee

200

1

30/60

100

NIDCD Grantee

(long form)

200

1

30/60

100

NIDCD Grantee

(short form)

60

1

20/60

20

Total

1,460



720 hours



Attachments:

  • A - New simplified data collection form

  • B - Documentation of connection between questions on approved form and questions on new simplified form

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCole, Laura (NIH/NIDCD) [E]
File Modified0000-00-00
File Created2021-01-15

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