Request for Approval under the “Generic Clearance for NIH Citizen Science and Crowdsourcing Projects” (OMB#: 0925-0766 Exp., date: 04/30/2023)
TITLE OF INFORMATION COLLECTION: NCTN Performance Measurement Survey (NCI)
A short survey for scientific and administrative leaders in the NCI’s new National Clinical Trials Network (NCTN) as we are halfway through the second grant cycle for this network. The survey objective is to gather feedback from engaged extramural members of the NCTN about their satisfaction with various aspects of the network and suggestions for possible improvements as we move forward.
The NCTN structure includes five U.S. Network groups and one Canadian group which organize and administer cancer clinical trials across the network of member sites. Respondents will include leaders from the groups, their member sites, and PIs of group studies, as identified by the groups, as well as site PIs from Lead Academic Participating Sites (LAPS) and NCI Community Oncology Research Program sites (NCORPs). Any duplicate names will be removed.
TYPE OF COLLECTION: (Check one)
[ ] Data Catalogue [ ] Repository of Tools and Best Practices
[ ] Recommendations of scientific reviewers [ ] Resources
[ ] Call for Nominations [ X] Other: Program evaluation and performance measurement
I certify the following to be true:
The collection is voluntary.
The collection is low burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
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: Grace Mishkin
To assist review, please provide answers to the following question: If you are collecting name and email, then check yes for PII.
Is personally identifiable information (PII) collected? [ ] Yes [X] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No
If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No
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.)
Category of Respondent |
No. of Respondents |
No. of Responses per Respondent |
Time per Response (in hours) |
Total Burden Hours |
Individuals |
1,100 |
1 |
10/60 |
183 |
Totals |
|
1,100 |
|
183 |
COST TO RESPONDENT
Category of Respondent |
Total Burden Hours |
Wage Rate* |
Total Burden Cost |
Individuals |
183 |
$ 121.38 |
$22,212.54 |
Total |
|
|
$22,212.54 |
*Source of the mean Hourly Wage Rate is provided by the Bureau of Labor Statistics, May 2021, Occupation title "Physicians" (Occupation code 29-1210): https://www.bls.gov/oes/current/oes_nat.htm#29-1210
FEDERAL COST: The estimated annual cost to the Federal government is $2,174.02
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Health Science Policy Analyst |
14/2 |
$130,441 |
10% |
|
$2,174.02 |
Contractor Cost |
|
|
|
|
$0 |
Travel |
|
|
|
|
$0 |
Other Cost |
|
|
|
|
$0 |
Total |
|
|
|
|
$2,174.02 |
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?
NCTN groups have been asked to provide a list of their leadership, key member investigators, and study PIs. NCI has the list of Lead Academic Participating Site (LAPS) and NCI Community Oncology Research Program (NCORP) PIs. The total list, after duplicates are removed, is expected to be 1,100 people. We will email the survey to all identified individuals.
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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Generic Clearance Submission Template |
Subject | Generic Clearance Submission Template |
Author | OD/USER |
File Modified | 0000-00-00 |
File Created | 2023-08-02 |