RAS Fast track

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0925-0642 Expiration Date 05/31/2020)

TITLE OF INFORMATION COLLECTION: 2^nd RAS Initiative Symposium Feedback Survey

PURPOSE:

In 2013, the NCI launched the RAS Initiative to mobilize the cancer research community to develop ways to understand and target cancers driven by mutant RAS in an open model of collaboration among government, academic, and industry researchers.  The hub of the Initiative’s research effort is overseen by Dr. Frank McCormick and is located at the Frederick National Lab for Cancer Research (FNLCR).   

In December 2017, the second international RAS Initiative Symposium was held in Frederick, MD. This three-day community-wide symposium was a highly interactive forum that brought experts in areas ranging from structural biology to signaling pathways to novel therapeutic approaches to the FNLCR hub. 

To improve future RAS Symposia, we would like to obtain feedback from the RAS Initiative Symposium participants. All survey responses will be used for internal program evaluation only (See attachment for sample of the survey questions).

DESCRIPTION OF RESPONDENTS: The meeting participants have a varied background. There were post-doctoral fellows, lab members, and lab leads from academia. There were all levels of industry scientists and executives.

TYPE OF COLLECTION: (Check one)

[ ] 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: Adedoyin Brown-Adu_____________________________________

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, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [] Yes [X] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [X] No

Gifts or Payments:

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

ESTIMATED BURDEN HOURS and COSTS

Category of Respondent	No. of Respondents	No. of Responses per Respondent	Time per Response (in hours)	Total Burden Hours
Academia	300	1	3/60	15
Industry	50	1	3/60	3
Totals	350	350		18

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individuals	18	$38.11	$685.98
Totals			$685.98

*Cite source per bls.gov:

Wage rate was calculated using occupation title life sciences – other and occupation code 19-1099 using this website: http://www.bls.gov/oes/current/oes191099.htm.

FEDERAL COST: The estimated annual cost to the Federal government is _$1,005.00___

Staff	Grade/Step	Salary	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Program Manager	13/2	$95,217.00	0.004%		$381
Contractor Cost		$78,000.00	0.008%		$624
Travel					N/A
Other Cost					N/A
Total					$1,005.00

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? [ ] Yes [X] 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?

N/A

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

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