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View ICR - OIRA Conclusion

OMB Control No: 0910-0780	ICR Reference No: 201711-0910-008
Status: Historical Active	Previous ICR Reference No: 201410-0910-005
Agency/Subagency: HHS/FDA	Agency Tracking No: OC
Title: Application for Participation in Food and Drug Administration Fellowship Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/05/2018
	Date Received in OIRA: 12/22/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	1,100	0	600
Time Burden (Hours)	1,298	0	798
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,100	600	500
Annual Time Burden (Hours)	1,298	798	500
Annual Cost Burden (Dollars)	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: The program change resulting in burden increase is due to the consolidation of 0910-0551 and development of a form for Regulatory Science Internship. The estimated annual hourly burden, formerly estimated as 798 hours, has increased by 500 hours to a total estimated annual hourly burden of 1,298 hours.

Annual Cost to Federal Government: $24,206

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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: Amber Sanford 301 796-8867 amber.sanford@fda.hhs.gov

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