sub-study Cancer Economics Research Survey

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

TITLE OF INFORMATION COLLECTION: Cancer Health Economics Research Collaborative Meeting (NCI)

PURPOSE:

NCI is considering holding a one-day meeting with representatives of other federal agencies and non-profit organizations interested in cancer health economics research. This meeting aims to identify areas for potential collaboration (across the entire cancer control continuum, from prevention through survivorship) and develop plans to implement the collaborative activities identified. This survey aims to assess interest in participating in this one-day meeting and identify topics of most significant interest for the meeting.

DESCRIPTION OF RESPONDENTS:

Scientistic, researchers, and academics

TYPE OF COLLECTION: (Check one)

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

[ ] Recommendations of scientific reviewers [ ] Resources

[ ] Call for Nominations [ X ] Other: Crowdsourcing

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is a low burden for respondents and a 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: Rachel Eisinger-Baskin

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

2. If Yes, will any collected information be included in records subject to the Privacy Act of 1974? [ ] Yes [X] No

3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] 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: _________

The explanation for incentive: (include a number of visits, etc.)

ESTIMATED BURDEN HOURS and COST

Category of Respondent	No. of Respondents	No. of Responses per Respondent	Time per Response (in hours)	Total Burden Hours
Individuals	75	1	10/60	13
Totals		75		13

COST TO RESPONDENT

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individual	13	$49.44	$642.72
Totals			$642.72

*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/2021/May/oes_nat.htm#19-1040.

FEDERAL COST: The estimated annual cost to the Federal government is $2,078.03.

Staff	Grade/Step	Salary**	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
Program Director	12/7	$ 107,803	1%		$1078.03
Contractor Cost					$1,000.00
Travel					$0
Other Cost					$0
Total					$2,078.03

**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/22Tables/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

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? [ X ] Yes [ ] No

If the answer is yes, please describe both below (or attach the sampling plan). If the answer is no, please describe how you plan to identify your potential group of respondents and how you will select them.

Respondents are members of the health economics research on cancer (HEROiC) group and opt to complete the survey.

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

2. Will interviewers, facilitators, or research coordinators be used? [ ] Yes [X] No