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:
0925-0748
ICR Reference No:
201912-0925-003
Status:
Historical Active
Previous ICR Reference No:
201608-0925-001
Agency/Subagency:
HHS/NIH
Agency Tracking No:
Title:
Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)
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:
02/07/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/23/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2023
36 Months From Approved
02/29/2020
Responses
3,914
0
4,320
Time Burden (Hours)
2,291
0
2,569
Cost Burden (Dollars)
0
0
0
Abstract:
The information collection activity is necessary to determine the eligibility and quality of potential awardees for traineeships and mentorships in the National Institute of Diabetes and Digestive and Kidney Diseases’ Office of Minority Health Research Coordination 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:
84 FR 55318
10/16/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 70200
12/20/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
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
Diversity Summer Research Training Program (DSTRP) Feedback Form
3
DSTRP Feedback Form
NIDDK/NHMA Feedback Form
12
NIDDK/NHMA Feedback Form
NIH/NHMA Feedback Form
11
NIH NHMA Feedback Form
NIH/NHMA Fellows Program Application
11
NHMA Application Form
NIH/NMA Feedback Form
10
NIH-NMA Feedback Form
NIH/NMA Feedback Form
9
NIH NMA Feedbacl Form
NIH/NMA Fellows Program on Careers in Academic Medicine Application
9
NIH-NMA Fellows Program on Careers in Academic Medicine Application
NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application
10
NIH NHMA Academic Career Fellow Travel Awards Application
NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application
8
NIH NMA Academic Career Fellow Travel Awards Application
NMRI Evaluation Form
6
NMRI Meeting Evaluation Form
NMRI Evaluation Form
5
NMRI Evaluation Form
NMRI Mentor-Mentee Agreement Form
7
NMRI Mentor-Mentee Agreement Form
NMRI Mentor/Mentee Agreement Forms
8
NMRI Mentor-Mentee Agreement Forms
NMRI Survey Form
6
NMRI Survey Form
NMRI Survey Form
7
NMRI Survey
Network of Minority Health Research Investigators (NMRI) Enrollment Form
4
Network of Minority Health Research Investigators (NMRI) Enrollment Form
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
STEP-UP Student Feedback Form
2
STEP-UP Student Feedback Form
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
1
Short-Term Research Experience for Underrepresented Persons (STEP-UP)
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
1
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
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
3,914
4,320
0
-406
0
0
Annual Time Burden (Hours)
2,291
2,569
0
-278
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Most changes to the questions in the forms are only minor changes to reflect the change in speakers and presentation titles (topics) at the programs’ annual events. A few questions on the forms were reworded to improve clarity. A few questions were removed as they were deemed unnecessary by new staff who have since replaced staff who managed OMHRC programs at the time of the 2016 submission. The DSRTP application form (found in 2016 submission) which was housed on a NIDDK website will no longer be used. Instead, beginning in November 2019, applicants will be redirected to the NIH Office of Intramural Training and Education (OITE) Summer Internship Program (SIP) website: https://www2.training.nih.gov/apps/publicForms/sip/forms/message.aspx?strMessage=sacc and apply through the SIP application and select DSRTP as a subprogram in the application portal. OITE SIP holds its own approved OMB project clearance under “NIH Office of Intramural Training and Education Application (OD),” OMB Control Number 0925-0299, Expiration date: 6/30/2022. Thus, the DSRTP application form was removed from the current submission. The NIH/NHMA Academic Career Fellow Travel Awards application is now available in an online submission format. In 2016, the application was an electronic form that was completed and emailed to an OMHRC staff person. The NHMA program application form mirrors the NIH/NMA Academic Career Fellow Travel Awards application which was approved in 2016 and has no changes. The same database portal is used for both program applications and continues to be reviewed under the same Privacy Impact Assessment (see Attachment 13). In the A12-1 Burden Table, the estimated number of respondents has changed since 2016 for some of the forms as the number of applicants/participants of OMHRC programs have grown or waned since 2016. Correspondingly, the total annual burden hours and annualized costs to respondents changes in comparison to the earlier 2016 submission.
Annual Cost to Federal Government:
$155,973
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:
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:
12/23/2019
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