View Information Collection Request (ICR) Package

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: 202005-0925-001
Status: Historical Active	Previous ICR Reference No: 201912-0925-003
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: 08/14/2020
	Date Received in OIRA: 05/21/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	36 Months From Approved	02/28/2023
Responses	7,114	0	3,914
Time Burden (Hours)	2,557	0	2,291
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	7,114	3,914	3,200
Annual Time Burden (Hours)	2,557	2,291	266
Annual Cost Burden (Dollars)	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 a revision to an existing collection in use under OMB Control Number 0925-0748, expiring 2/28/2023. The OMHRC is adding two additional instruments. The first instrument (Section A12, Attachment 11) is a previously approved information collection request under OMB# 0925-0648, expiration date: 05/2021, “Generic Clearance for the Collection of Routine Customer Feedback,” titled “NIH/National Medical Association (NMA) Academic Career Development Workshop Contact Information and Feedback Form.” The purpose is to update contact information and obtain feedback from past recipients of the NIH/NMA Travel Awards program and past participants of the NIH/NMA Academic Career Development Workshop. While the OMHRC originally intended it to be a one-time collection, they have decided to change it to a regular, annual collection to capture informative programmatic feedback and contact information for future program participants.

Annual Cost to Federal Government: $160,517

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? No

Agency Contact: Tawanda Abdelmouti 240 276-5530 ta401@nih.gov

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