View Information Collection Request (ICR) Package
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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:
0925-0747
ICR Reference No:
201703-0925-001
Status:
Historical Active
Previous ICR Reference No:
201606-0925-006
Agency/Subagency:
HHS/NIH
Agency Tracking No:
Title:
Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program for the National Institute of General Medical Sciences (NIGMS)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/14/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/14/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2019
11/30/2019
11/30/2019
Responses
90,723
0
90,723
Time Burden (Hours)
61,950
0
61,950
Cost Burden (Dollars)
0
0
0
Abstract:
This is a NEW OMB application request for a three year clearance to conduct an evaluation of the NIH Common Fund’s “Enhancing the Diversity of the NIH-funded Workforce Program.” This program is a national consortium, comprised of three integrated initiatives: 1) Building Infrastructure Leading to Diversity (BUILD) Initiative (RFA-RM-13-016; see Attachment 1), 2) National Research Mentoring Network (NRMN) (RFA-RM-13-017; see Attachment 2) and 3) Coordination and Evaluation Center (CEC) for Enhancing the Diversity of the NIH-Funded Workforce Program (RFA-RM-13-015; see Attachment 3).
Authorizing Statute(s):
US Code:
42 USC sect. 284n
Name of Law: National Institutes of Health Reform Act of 2006
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:
80 FR 58270
09/28/2015
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 40712
06/22/2016
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
39
IC Title
Form No.
Form Name
BUILD Case Studies Preparation
11
BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews Graduate/post-doctoral Students
11
BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews PI's, Program Managers/Directors, & Faculty
11
BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews Undergraduate Students
11
BUILD Site Visit and Case Studies protocol
BUILD Faculty Annual Follow-up survey
7
BUILD Student Annual Followup Survey
BUILD Faculty Survey (HERI Faculty Survey)
6
HERI Faculty Survey
BUILD Implementation Reports
10
BUILD Implementation Reports
BUILD Institutional Research & Program Data Requests
9
BUILD Institutional Records and Program Data Requests
BUILD Mentee Mentor Assessment
8
Mentee Mentor Assessment
BUILD Site Visits
11
BUILD Site Visit and Case Studies protocol
BUILD Student - Follow up survey at the end of the first attendance year (HERI Your First College Year)
3
HERI Your First College Year
BUILD Student - Follow-up survey at graduation (HERI College Senior Survey)
4
HERI College Senior Survey
BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers
2, 1
HERI Freshman Survey (On-line Version)
,
HERI Freshman Survey (Paper Version)
BUILD Student Annual Follow-up Survey 2015 Cohort
5
BUILD Student Annual Followup Survey
BUILD Student Annual Follow-up Survey 2016 Cohort
5
BUILD Student Annual Followup Survey
BUILD Student Annual Follow-up Survey 2017 Cohort
5
BUILD Student Annual Followup Survey
NRMN Case Study Interviews Faculty mentees
19
NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Investigators
19
NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Mentors
19
NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Student mentees
19
NRMN Site visit and Case Studies Protocol
NRMN Mentee Annual Follow-up Surverys 2016 Faculty Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2016 student Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 Faculty Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 student Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 Faculty Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 student Cohorts
12
NRMN Student Mentee Core Followup Survey
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort
14, 15, 16
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort
14, 15, 16
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort
14, 15, 16
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort
14, 15, 16
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort
16, 14, 15
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort
14, 15, 16
Mentee Mentor Assessment
,
NRMN Research and Grant Writing
,
NRMN Institutional context Module
NRMN Mentor Annual Follou-up Surveys 2016 Cohort
13
NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2017 Cohort
13
NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2018 Cohort
13
NRMN Faculty Mentor Core Followup Survey
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort
18, 16, 17
NRMN Mentor Skills
,
NRMN Coaching Training Module
,
NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort
17, 18, 16
NRMN Mentor Skills
,
NRMN Coaching Training Module
,
NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort
18, 16, 17
NRMN Mentor Skills
,
NRMN Coaching Training Module
,
NRMN Institutional context Module
NRMN Site Visit
19
NRMN Site visit and Case Studies Protocol
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
90,723
90,723
0
0
0
0
Annual Time Burden (Hours)
61,950
61,950
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$5,269
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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:
03/14/2017
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