sub-study for Researchers Networking Session

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

(OMB#: 0925-0740 Exp Date: 07/31/2022)

TITLE OF INFORMATION COLLECTION:

Researchers Networking Session—Developing Quantitative Imaging & Other Relevant Biomarkers of Myofascial Tissues for Clinical Pain Management

PURPOSE:

Researchers Networking Session

January 6, 2022 from 3:00 – 4:00 p.m. ET

Interactive Facilitated Conversations with HEAL Program Officers and Other Experts on Topic-Specific Research Areas.

The National Center for Complementary and Integrative Health (NCCIH) is sponsoring an event for the research community related to the Funding Opportunity Announcement (FOA) HEAL Initiative: Developing Quantitative Imaging and Other Relevant Biomarkers of Myofascial Tissues for Clinical Pain Management (R61/R33, Clinical Trial Required). The FOA is a partnership with the National Institute of Biomedical Imaging and Bioengineering (NIBIB) and 9 other NIH Institutes and Centers.

This event will provide an interactive, team building experience for webinar registrants to have facilitated conversations with HEAL program officials and topic experts related to technical requirements of the R33 phase of the RFA. Participants will join breakout rooms.

DESCRIPTION OF RESPONDENTS:

Technologist or engineer, Pain expert, Interventionist/therapist, Clinical Trialist, Basic/mechanistic and clinical researchers, members of the public, advocates, policymakers, journalists, NIH Employees, members of academia, non-profits, and other interested parties.

TYPE OF COLLECTION: (Check one)

[ ] 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:

Wen G. Chen, Ph.D., Branch Chief and Program Director, Basic and Mechanistic Research in Complementary and Integrative Health Branch

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
Individuals (Registration)	500	1	10/60	83
Totals		500		83

Category of Respondent	Total Burden Hours	Hourly Wage Rate*	Total Burden Cost
Individuals	83	$48.45	$4,021.35
Total			$4,021.35

*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 $1,708.00

Staff	Grade/Step	Salary**	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Program Director	GS15-7	$ 170,800	1%		$1,708.00
Contractor Cost
Travel
Other Cost
Total					$1,708.00

**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/20Tables/html/DCB.aspx

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

N/A

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? [] 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 promote the meeting through the NCCIH public website, NCCIH communication channels, other Institute, Center, and Offices communication channels, and third-party organizations such as professional associations and research societies. We will contact individual researchers interested in this topic as identified through NIH databases.

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

[ ] Mail

[ ] 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.

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