2016 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators’ (PI) Meeting Post-Conference

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB#: 0925-0648 Exp., date: 03/2018)

T ITLE OF INFORMATION COLLECTION: 2016 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators’ (PI) Meeting Post-Conference Evaluation Survey

PURPOSE: The purpose of this survey is to receive feedback from the attendees of the 2016 BRAIN PI meeting regarding their overall satisfaction with the meeting (e.g. topics covered, presentation quality, organization of the meeting, etc.). These survey results will be used to inform planning of future (2017) BRAIN PI meeting.

DESCRIPTION OF RESPONDENTS: Respondents are meeting attendants including the National Institutes of Health (NIH)-, National Science Foundation (NSF)-, Defense Advanced Research Projects Agency (DARPA)-, and Intelligence Advanced Research Projects Activity (IARPA)- funded investigators and associated scientific staff (e.g., postdocs) from academic and private institutions around country who will attend the NIH sponsored 2016 BRAIN PI Meeting on December 11-14^th, 2016 in North Bethesda, MD. Respondents also include federal staff (NIH, NSF, DARPA, IARPA), BRAIN Initiative-related investigators who do not receive federal funding (e.g., Allen Institute, HHMI/Janelia, Human Brain Project), the media, members of congress, patient/advocacy groups, and members of the public.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [ ] 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. The results are not intended to be disseminated to the public.

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

6. 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: Sophia Jeon, Ph.D. Health Science Policy Analyst, NINDS OSPP

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, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

3. If Applicable, has a System or Records Notice 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

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	1000	1	5/60	83
Totals	1000	1000		83

Category of Respondent	Total Burden Hours	Wage Rate*	Total Burden Cost
Individuals	83.3	$36.13	$3009.63
Totals			$3009.63

*Hourly wage rates for 19-1029 Biologic Scientist is $36.13 (based on http://www.bls.gov/oes/current/oes191029.htm).

FEDERAL COST: The estimated annual cost to the Federal government is $680.87.

A Health Program Specialist (GS-13, step2) will be conducting the survey, including creating survey text, administering and collecting/compiling the results. This will take 8.0 hours. The survey platform (survey monkey, https://www.surveymonkey.com).

Staff	Grade/Step	Salary	% of Effort	Fringe (if applicable)	Total Cost to Gov’t
Federal Oversight
NINDS staff 1	13/2	$95217	0.4%		$380.87
Contractor Cost
Travel
Other Cost
Annual fee for Surveymonkey					$300.00
Total					$680.87

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 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 have the complete list of registrants to the 2016 BRAIN PI meeting held on Dec. 12-14, which is anticipated to reach 1000. This list will be complied by December 19^th, 2016. We do not plan to sample this population, but rather send the survey to the entire list of attendees.

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

[ ] Other, Explain

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

Please make sure that all instruments, instructions, and scripts are submitted with the request.

Screen capture images of the SurveyMonkey online survey are submitted.

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