National Institutes of Health Undergraduate Scholarship Program for Individuals from Disadvantaged Backgrounds(OD)

Forms and Documents

Document Name	Status
Form 1 Applicants Form and Instruction	Modified
Form 4 Registrar Form and Instruction	New
Form 4 UGSP Participants Form and Instruction	New
Form 4 Financial Aide Staff Form and Instruction	New
Form 2 Recommender Form and Instruction	New
Attachment 4 SSS Data Security Standards (2).doc Supplementary Document	2008-01-30
UGSP_2007 privacy act notice.pdf Supplementary Document	2008-01-30
Attachment 2 UGSP_AppPkt_Booklet_0807.pdf Supplementary Document	2008-01-30
Attachment 4 SSS Data Security Standards (2).doc Supplementary Document	2008-01-30
UGSP_2007 privacy act notice.pdf Supplementary Document	2008-01-30
Attachment 2 UGSP_AppPkt_Booklet_0807.pdf Supplementary Document	2008-01-30
Attachment 4 SSS Data Security Standards (2).doc Supplementary Document	2008-01-30
UGSP_2007 privacy act notice.pdf Supplementary Document	2008-01-30
Attachment 2 UGSP_AppPkt_Booklet_0807.pdf Supplementary Document	2008-01-30
Attachment 4 SSS Data Security Standards (2).doc Supplementary Document	2008-01-30
UGSP_2007 privacy act notice.pdf Supplementary Document	2008-01-30
Attachment 2 UGSP_AppPkt_Booklet_0807.pdf Supplementary Document	2008-01-30
Attachment 4 SSS Data Security Standards (2).doc Supplementary Document	2008-01-30
UGSP_2007 privacy act notice.pdf Supplementary Document	2008-01-30
Attachment 2 UGSP_AppPkt_Booklet_0807.pdf Supplementary Document	2008-01-30
UGSP.doc Supporting Statement A	2008-02-14

IC Document Collections

IC ID	Document Title	Status
7335	Applicants Form and Instruction	Modified
183939	Registrar Form and Instruction	New
183938	UGSP Participants Form and Instruction	New
183937	Financial Aide Staff Form and Instruction	New
183936	Recommender Form and Instruction	New

ICR Details

OMB Control No: 0925-0438	ICR Reference No: 200802-0925-006
Status: Historical Active	Previous ICR Reference No: 200409-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Institutes of Health Undergraduate Scholarship Program for Individuals from Disadvantaged Backgrounds(OD)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/09/2008
	Date Received in OIRA: 02/28/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved	04/30/2008
Responses	1,580	0	1,580
Time Burden (Hours)	2,033	0	2,033
Cost Burden (Dollars)	0	0	0

---

Abstract: This program provides scholarship awards to students from disadvantaged backgrounds who are committed to research careers needed by the NIH. In return, the recipients are obligated to serve as a full-time paid employees in NIH research labs.

---

Authorizing Statute(s): US Code: 42 USC 103 Name of Law: Public Health Service (PHS) 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:
	72 FR 62661	11/06/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 9817	02/22/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Recommender	2	Recommender
Financial Aide Staff	4	Others
UGSP Participants	4	Others
Registrar	4	Others
Applicants	1, 3	UGSP ,   Application 2

---

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	1,580	1,580	0	0	0	0
Annual Time Burden (Hours)	2,033	2,033	0	0	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: There is no increase or decrease in burden.

---

Annual Cost to Federal Government: $528,990

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 02/28/2008

---