TITLE OF INFORMATION COLLECTION:
The Intramural Continuing Umbrella of Research Experiences (iCURE) Program Welcome Ceremony 2021 (NCI)
PURPOSE:
This invitation-only ceremony will welcome the fourth cohort of iCURE scholars to the NCI. The iCURE program supports mentored research experiences for qualified students and scientists in the multidisciplinary research environment of the NCI campuses in Bethesda, Rockville, and Frederick, Maryland. iCURE offers unique training and career development opportunities to enhance the workforce diversity in cancer and cancer health disparities research in the NCI. Scholars, NIH/NCI staff, family, friends will attend.
iCURE scholars are being asked to complete the questionnaire in order to provide information for posters that will be created and presented during the meeting. Scholars will give a brief introduction during the ceremony. The poster for each scholar will be shown during the presentation.
DESCRIPTION OF RESPONDENTS:
Scholars, NIH/NCI staff, and scientists
TYPE OF COLLECTION: (Check one)
[ ] Abstract [ ] Application
[X] Registration Form [ X ] Other: Scholar Poster Information________________
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: Jessica Calzola
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 - Registration |
300 |
1 |
10/60 |
50 |
Individuals - Poster |
18 |
1 |
10/60 |
3 |
Totals |
|
318 |
|
53 |
Category of Respondent |
Total Burden Hours |
Hourly Wage Rate* |
Total Burden Cost |
Individuals |
53 |
$48.45 |
$2,567.85 |
Total |
|
|
$2,567.85 |
*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/2020/May/oes_nat.htm.
FEDERAL COST: The estimated annual cost to the Federal government is $2,389.00
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Program Director |
14/5 |
$138,866 |
1% |
|
$1,389.00 |
Contractor Cost |
|
|
|
|
$1,000.00 |
Travel |
|
|
|
|
$0 |
Other Cost |
|
|
|
|
$0 |
Total |
|
|
|
|
$2,389.00 |
**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.
If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:
The selection of your 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? [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?
This workshop is by invitation only and the invitees are current training award recipients for the NCI Center to Reduce Cancer Health Disparities.
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 | 2022-02-14 |