Advancing NIH Research on the Health of Women: A 2021 Conference

sub-study for Women's Health Conference.docx

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

Advancing NIH Research on the Health of Women: A 2021 Conference

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)

Shape1 TITLE OF INFORMATION COLLECTION: Advancing NIH Research on the Health of Women: A 2021 Conference


PURPOSE:

In response to a congressional request to address NIH efforts related to women’s health research, the Office of Research on Women’s Health (ORWH), in conjunction with the Advisory Committee on Research on Women’s Health (ACRWH), will be hosting an event titled “Advancing NIH Research on the Health of Women: A 2021 Conference.” The key topics to be discussed, as identified by Congress, are (1) clinical practices related to rising maternal morbidity and mortality rates; (2) increasing rates of chronic debilitating conditions in women; and (3) stagnant cervical cancer survival rates. Learn more about these issues below.


DESCRIPTION OF RESPONDENTS: Researchers, scientists, clinical providers, general public



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: Lamont Williams


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? [ 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

Conference attendees

500

1

5/60

42






Totals

500

500


42


COST TO RESPONDENT


Category of Respondent


Total Burden

Hours

Wage Rate*

Total Burden Cost

Conference attendees

42

$27.07

$1,137





Totals

40


$1,137

*https://www.bls.gov/oes/2020/may/oes_nat.htm#00-0000



FEDERAL COST: The estimated annual cost to the Federal government is $5,269.


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Supv. Physician

15/10

$172,500

1%


$1,725

Communications Director

13/7

$124,428

1%


$1,244













Contractor Cost


$70,000

1%


$700







Travel






Other Cost












Total





$5,269

*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




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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