View Information Collection Request (ICR) Package
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Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0925-0748
ICR Reference No:
201608-0925-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/NIH
Agency Tracking No:
Title:
NIDDK Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications
Type of Information Collection:
Existing collection in use without an OMB Control Number
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/21/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/07/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2019
36 Months From Approved
Responses
4,320
0
0
Time Burden (Hours)
2,569
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This is a New, Existing collection without OMB approval. The proposed information collection activity is necessary in order to determine the eligibility and quality of potential awardees for traineeships and mentorships in these programs.
Authorizing Statute(s):
US Code:
42 USC 241 and 282(b)(13)
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 29877
05/13/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 61226
09/06/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
DSRTP Feedback Form
4
DSRTP Feedback Form
Diversity Summer Research Training Program (DSRTP) Application
3
Diversity Summer Research Training Program (DSRTP) Application
NIDDK/NHMA Feedback Form
12
NIDDK/NHMA Feedback Form
NIH/NHMA Fellows Program Application
11
NHMA Application Form
NIH/NMA Feedback Form
10
NIH-NMA Feedback Form
NIH/NMA Fellows Program on Careers in Academic Medicine Application
9
NIH-NMA Fellows Program on Careers in Academic Medicine Application
NMRI Evaluation Form
6
NMRI Meeting Evaluation Form
NMRI Mentor/Mentee Agreement Forms
8
NMRI Mentor-Mentee Agreement Forms
NMRI Survey Form
7
NMRI Survey
Network of Minority Research Invetigators (NMRI) Enrollment Form
5
Network of Minority Health Research Investigators (NMRI) Enrollment Form
STEP-UP Student Feedback Form
2
STEP-UP High School and Undergraduate Feedback Form
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
1
Short-Term Research Experience for Underrepresented Persons (STEP-UP)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
4,320
0
0
4,320
0
0
Annual Time Burden (Hours)
2,569
0
0
2,569
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is an New, existing collection in use without OMB Control Number, which is considered a “Change Due to Violation.” In 2014 it was recognized that this database existed and thus PRA/OMB Clearance is being requested.
Annual Cost to Federal Government:
$217,540
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Tawanda Abdelmouti 240 276-5530 ta401@nih.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/07/2016
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