Fogarty Clearance for Request an Invite

Fogarty Clearance for Request an Invite.docx

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

Fogarty Clearance for Request an Invite

OMB: 0925-0740

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

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

TShape1 ITLE OF INFORMATION COLLECTION: Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Symposium


PURPOSE:


In coordination with the launch of the NIH Common Fund’s Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) program, NIH is hosting a Symposium in Kampala, Uganda on June 22-24, 2020. The DS-I Africa Symposium will bring together up to 350 participants, mostly from Africa, representing academic, government, NGOs, private sector, and other relevant organizations. The goals of the Symposium are to publicize the NIH funding opportunities associated with the DS-I Africa program, showcase diverse data science-related activities across the continent, and encourage networking across disciplines and sectors among potential applicants for the funding opportunities.


The meeting is open to the public, though space is limited. To ensure diverse participation across disciplines, areas of expertise, and geographic regions, individuals interested in attending the Symposium will be asked to request an invitation by submitting some general information on a registration website



DESCRIPTION OF RESPONDENTS:


Respondents will be versed in data science from various sectors: academic, government, private sector, NGO, and multinational organizations. The majority will be English-speaking persons from Africa. There will also be some researchers from high income countries that may also wish to participate.





TYPE OF COLLECTION: (Check all that applies)


[ ] 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:_Celia Wolfman Katz_______________________________


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? [ ] 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


Category of Respondent

No. of Respondents

No. of Responses per Respondent

Time per

Response

(in hours)

Total Burden

Hours

Individuals

135

1

10/60

23

Totals


135


23



Category of Respondent


Total Burden

Hours

Wage Rate*

Total Burden Cost

Individuals – American 20

3.34

$59

$197.06

Individuals – African 115

19.205

$32

$614.56

Totals



$811.62

Source: Bureau of Labor Statistics: The General Public rate was obtained from https://www.bls.gov/oes/current/oes251071.htm. For American Respondents only.



FEDERAL COST: The estimated annual cost to the Federal government is $1570____

Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Federal Oversight






Public Policy Analyst

12/3

92,091

1%


$920







Contractor Cost






Contractor


65,000

1%


$650

Travel






Other Cost












Total





$1570

*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2020/DCB.pdf



If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


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? [ ] 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?



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


  1. 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 Created2022-02-14

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