sub-study for SCORE meeting

SCORE 2022 OMB Request Form - FINAL.docx

Conference, Meeting, Workshop, Registration and Challenges Generic Clearance (OD)

sub-study for SCORE meeting

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: 09/30/2025)

Shape1 TITLE OF INFORMATION COLLECTION: 2022 Annual Specialized Centers of Research Excellence (SCORE) Meeting (OD)


PURPOSE:

The Specialized Centers of Research Excellence (SCORE) on Sex Differences program is a signature program of the Office of Research on Women’s Health (ORWH). Each SCORE program serves as a national resource for translational research, at multiple levels of analysis, to identify the role of biological sex differences on the health of women. These NIH-supported Centers of Excellence are vital hubs for research on sex and gender that also provide pilot funding, training, and education. SCORE investigators provide leadership in the development and promotion of standards and policies for the consideration of sex as a biological variable (SABV) and sex differences in biomedical research. Identifying the contributions of biological sex can assist in understanding the diversity of health outcomes and how this knowledge can be applied to the development of the next generation of interventions and medical treatments leading to improvements in women's health. The annual meeting brings together SCORE investigators to share findings and outcomes.





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: Priscilla Logan-Waller


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

150

1

5/60

13






Totals


150


13


COST TO RESPONDENT


Category of Respondent


Total Burden

Hours

Wage Rate*

Total Burden Cost

Conference Attendees

13

$43

$559





Totals



$559

*Cite source per bls.gov if applicable: www.bls.gov/oes/current/oes191029.htm


FEDERAL COST: The estimated annual cost to the Federal government is $3,466.


Staff


Grade/Step

Salary*

% of Effort

Fringe (if applicable)

Total Cost to Gov’t

Supv. Health Scientist Administrator

15/10

$176,300

1%


$1,763

Communications Director

13/1

$106,823

1%


$1,068













Contractor Cost


$63,556

1%


$635







Travel






Other Cost






Total





$3,466

*the Salary in table above is cited from OPM’s GS Pay scale Wages & salaries please cite current url


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 Created2022-10-20

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