TITLE OF INFORMATION COLLECTION: DCEG Fellows Training Symposium 2021 (NCI)
PURPOSE: To solicit registration information from the current fellows in the Division of Cancer Epidemiology and Genetics (DCEG) Fellowship program at the National Cancer Institute (NCI) for the 13th Annual DCEG Fellows Training Symposium. This Symposium will be a one day virtual event comprising of four keynote speakers and a closing panel discussion. This registration collects minimal information regarding fellow demographics and personal queries for symposium speakers during the panel discussion. Data collection is voluntary, statistical rigor is not required, the registration is of low burden, and public dissemination of the results is not intended. The results of the registration will be provided to the DCEG Office of Education to account for expected symposium attendance and potential panel discussion topics based on fellows’ queries.
DESCRIPTION OF RESPONDENTS: All current DCEG training fellows including, cancer prevention fellows, research fellows, visiting fellows, and CRTA fellows.
TYPE OF COLLECTION: (Check all that apply)
[ ] Abstract [ ] Application
[ X ] Registration Form [ ] Other: ______________________
CERTIFICATION:
I certify the following to be true:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
Name: Diane Wigfield
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:
Is personally identifiable information (PII) collected? [ X ] Yes [ ] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ X ] Yes [ ] No
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 |
150 |
1 |
10/60 |
25 |
Totals |
|
150 |
|
25 |
Category of Respondent |
Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
Individuals |
25 |
$46.95 |
$1,173.75 |
Total |
|
|
$1,173.75 |
*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 $1,446.53.
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Program Coordinator |
11/5 |
$82,453 |
1% |
|
$824.53 |
Contractor Cost |
|
|
|
|
$622.00 |
Travel |
|
|
|
|
$0 |
Other Cost |
|
|
|
|
$0 |
Total |
|
|
|
|
$1,446.53 |
**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
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? [ 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?
We will be sending out the electronic registration to all fellows on the NCI DCEG Fellows Listserv. This listserv (approximately n=150) includes current DCEG fellows of multiple professional designations (e.g. post-baccalaureate, postdoctoral, and masters level) and multiple hiring mechanisms (e.g. CRTA, Visiting Fellows, etc.). The registration will be sent to all listserv members
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
[ ] Survey Form
[ ] Chart Abstraction
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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
File Modified | 0000-00-00 |
File Created | 2022-02-01 |