TITLE OF INFORMATION COLLECTION: NIMH’s “Macrophage Infection by HIV: Implications for Pathogenesis and Cure” Meeting Registration
PURPOSE:
To collect preliminary information from participants of NIMH’s “Macrophage Infection by HIV: Implications for Pathogenesis and Cure” meeting. The NIMH Division of AIDS Research is hosting this meeting in collaboration with Ragon Institute (MGH, MIT and Harvard), scheduled for October 13-14, 2021.
DESCRIPTION OF RESPONDENTS:
The meeting aims to bring together researchers with an interest in emerging data related to macrophage interactions with the immune system during HIV infection, macrophage reservoirs and approaches to their elimination, and the involvement of CNS myeloid reservoirs and associated co-morbidities.
TYPE OF COLLECTION: (Check all that applies)
[ ] 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: Jeymohan Joseph, NIMH
To assist review, please provide answers to the following question:
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
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/Households |
150 |
1 |
2/60 |
5 |
|
|
|
|
|
Totals |
|
150 |
|
5 |
Category of Respondent |
Total Burden Hours |
Wage Rate* |
Total Burden Cost |
Individuals/Households |
5 |
$44.31/hr |
$222 |
|
|
|
|
Totals |
|
|
$222 |
* Private sector and government respondent wage rate data is from the Life Scientists, All Other (19-1099) category at http://www.bls.gov/oes/current/oes_nat.htm#00-0000.
FEDERAL COST: The estimated annual cost to the Federal government is $376.
Staff |
Grade/Step |
Salary* |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Program Analyst |
GS-13/S 10 |
$134,798 |
0.05% |
|
$67 |
|
|
|
|
|
|
Contractor Cost |
|
|
|
|
$309 |
|
|
|
|
|
|
Travel |
|
|
|
|
|
Other Cost |
|
|
|
|
|
Total |
|
|
|
|
$376 |
*the Salary in table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/pdf/2021/DCB.pdf.
The selection of targeted respondents
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?
We will use NIMH digital channels (e.g., LinkedIn, Twitter, and GovDelivery) to inform researchers about this workshop. We will send an email announcement about the conference (with registration link) to NIMH listservs of employees, grantees, and public partners, and encourage them to forward as well. The meeting is open to the public so anyone who completes the registration form will be able to attend and view the meeting via webcast.”
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
[ ] 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.
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 |