Rachel Pearline Award Nominations (NCI)

Request for Approval under the “Generic Clearance for NIH Citizen Science and Crowdsourcing Projects” (OMB#: 0925-0766, Expiration Date: 04/30/2023)

TITLE OF INFORMATION COLLECTION: Rachel Pearline Award Nominations (NCI)

PURPOSE:

In honor of Dr. Rachel Pearline, the 10^th Annual Symposium on Global Cancer Research Steering Committee would like to invite nominations for the 10^th Annual Rachel Pearline Award. As part of the Symposium each year, we recognize one outstanding professional who embodies virtue and eminence in cancer research, practice, and/or training in a low- and middle-income country (LMIC) setting. The Steering Committee invites nominations of individuals, at any stage in their career, who have made major contributions to global cancer research, practice, and training. The nominee should be affiliated with an institution from a LMIC, and their work should focus on cancer research, practice, and/or training in an LMIC setting.

The nominee will be recognized at the virtual Annual Symposium on Global Cancer Research on March 25, 2022. The nominee will be expected to take part in the award presentation ceremony as well as to give a keynote address that highlights their contributions to cancer research, practice, and/or training in an LMIC setting, and their future perspectives.

DESCRIPTION OF RESPONDENTS:

NIH Scientists, NIH-funded Researchers, PIs, NCI Designated Cancer Centers, academic institutions, students, and researchers from low- and middle-income countries.

TYPE OF COLLECTION: (Check one)

[ ] Data Catalogue [ ] Repository of Tools and Best Practices

[ ] Recommendations of scientific reviewers [ ] Resources

[ X ] Call for Nominations [ ] 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.

4. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

5. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name: Mishka Cira

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 (Award Nominations)	20	1	30/60	10
Totals		20		10

Category of Respondent	Total Burden Hours	Hourly Wage Rate*	Total Burden Cost
Individuals	10	$46.95	$469.50
Total			$469.50

*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#19-1040.

FEDERAL COST: The estimated annual cost to the Federal government is $2,235.00

Staff	Grade/Step	Salary**	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
CRTA Fellow (Master’s Degree Stipend)		$44,700	5%		$2,235.00
Contractor Cost					$0
Travel					$0
Other Cost (Venue, AV)					$0
Total					$2,235.00

**The salary in the table above is cited from https://www.cancer.gov/grants-training/training/at-nci/crta/2021crta.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 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?

For award nominations: This meeting will be advertised through NIH/NCI Center for Global Health listservs, social media, and scientific steering committee members.

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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