SURF Fellow Housing Application

ICR 201904-0693-001

OMB: 0693-0084

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2019-04-15
Supplementary Document
2019-04-15
Supporting Statement A
2019-04-15
IC Document Collections
ICR Details
0693-0084 201904-0693-001
Active
DOC/NIST ER
SURF Fellow Housing Application
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/20/2019
Retrieve Notice of Action (NOA) 04/17/2019
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved
220 0 0
110 0 0
0 0 0

The purpose of this collection is to gather information requested on behalf of the NIST Summer Undergraduate Research Fellowship (SURF) Program for both Gaithersburg and Boulder locations. Students participating in the program receive a fellowship which includes lodging arranged by the agency. To coordinate the lodging, information is submitted by accepted students which require lodging during the program dates. The student information is utilized for roommate matching based on gender and common interests. The information includes: identification of accepted laboratory, housing requirement (yes or no), first name, last name, dates requesting housing, gender, roommate identification, name of academic institution of enrollment, preferences (night owl, early bird, neatness, smoking), and special requests.

None
None

Not associated with rulemaking

  84 FR 2819 02/08/2019
84 FR 15183 04/15/2019
No

1
IC Title Form No. Form Name
SURF Fellow Housing Application

  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 220 0 0 220 0 0
Annual Time Burden (Hours) 110 0 0 110 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.

$990,000
No
    Yes
    Yes
No
No
No
Uncollected
Brandi Toliver 301 975-2371 brandi.toliver@nist.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/17/2019


© 2024 OMB.report | Privacy Policy