View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Specialized Scientific Jobs (SSJ) 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
1
Profile Creation
Attachment 1 SSJ Profile Creation.docx
Yes
Yes
Fillable Fileable
Form
2
Application
Attachment 2 SSJ Application.docx
Yes
Yes
Fillable Fileable
Other-References Example
Attachment 5 Request for Reference Example.docx
Yes
Yes
Fillable Fileable
Other-Instructions
Attachment 3 Application Instructions.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
4,000
0
4,000
0
0
0
Annual IC Time Burden (Hours)
1,100
0
1,100
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA
0925-0761-2601 Mini SSA SSJ 8-31-2026.docx
09/15/2026
Email Correspondence
Attachment 4 AutoGenerated Email Response.docx
09/15/2026
PIA
Attachment 6 Privacy Impact Assessment.pdf
09/15/2026
Privacy Act Memo
Attachment 7 Privacy Act Memo NCI - SSJ 2025.05.22 signed.pdf
09/15/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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