View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Early Investigator Advancement Program (EIAP) Applications (NCI)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Application	Attachment 1 - Application 7.11.2022.pdf		No		Paper Only
Form and Instruction	2	EIAP Reference Letter	Attachment 2 - EIAP Reference Request.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: #09–25–0014, “Clinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE”	FR Citation: 67 FR 60742

Number of Respondents: 210	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	210	0	210	0	0	0
Annual IC Time Burden (Hours)	280	0	280	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for EIAP Applications	Mini SSA EIAP 7.19.docx	07/19/2022
privacy Act Memo	Attachment 3 - Privacy Act Memo.pdf	07/19/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.