NCI Symposium on Mutation Signatures and Cancer

Sub-Study - NCI Symposium on Mutation Signatures 3.19 (1).docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

NCI Symposium on Mutation Signatures and Cancer

OMB: 0925-0648

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Request for Approval under the Generic Clearance for the “Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)”(OMB#: 0925-0740, Expiration Date: 07/31/2022)


Shape1 TITLE OF INFORMATION COLLECTION: NCI Symposium on Mutation Signatures and Cancer



PURPOSE: The NCI Symposium on Mutation Signatures and Cancer will be a virtual meeting organized by the Division of Cancer Biology in conjunction with the Division of Cancer Epidemiology and Cancer Genetics and the Division of Cancer Treatment and Diagnosis. This meeting will be held on December 2-3, 2021 in a virtual format and will be open to the public. The meeting goal is to learn the state of the science regarding mutation signatures and cancer from leading researchers in the field. There will be time set aside to discuss research gaps and opportunities for this topic.




DESCRIPTION OF RESPONDENTS: Expected respondents are the following groups who are interested in the scientific area of the meeting: researchers, trainees and research staff from the extramural community, NIH intramural research staff, NIH extramural program staff, and staff from other federal agencies. An estimate of registrant number is approximately 500, of which 100 will be federal employees.



TYPE OF COLLECTION: (Check all that apply)


[ 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: Ron Johnson, PhD


To assist review, please provide answers to the following question: If you are collecting name and email, then check yes for PII.


Personally Identifiable Information:l9


  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? [ ] 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


Amount: _________


Explanation for incentive: (include number of visits, etc)


ESTIMATED BURDEN HOURS and COSTS

Form Name

Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per Response

(in hours)

Total Burden

Hours

Registration

Individuals

400

1

5/60

33

Abstract

Individuals

20

1

30/60

10

Totals



420


43



Category of Respondent

Total Burden

Hours

Hourly Wage Rate*

Total Burden Cost

Individuals

43

$46.95

$2018.85

Total



$2,018.85

*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 $ 840.75


Staff

Grade/Step

Salary**

% of Effort

Fringe

(if applicable)

Total Cost to Gov’t

Federal Oversight





Program Director

15/6

$168,150

0.5 %


$840.75

Contractor Cost





$0

Travel





$0

Other Cost





$0

Total





$840.75

**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/21Tables/html/DCB.aspx




The selection of your targeted respondents


  1. Do you have a customer list or something similar that defines the universe of potential espondents 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?



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

[ ] Mail

[ ] 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.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
File Modified0000-00-00
File Created2021-05-03

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