Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)

Forms and Documents

Document Name	Status
Form 1 The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI) Form and Instruction	New
Form 1 Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI) Form and Instruction	New
Form 1 NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI) Form and Instruction	New
Form 1 Communications Fellowship (NCF) Program Application, (NCI) Form and Instruction	New
Form 1 Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI) Form and Instruction	New
pub 30day FRN2019-11461.pdf Supplementary Document	2019-06-05
Attach5-Privacy Act Memo.pdf Supplementary Document	2019-05-23
Attach4-Request for Reference Example.docx Supplementary Document	2019-05-23
Attach3-Application Example (2).docx Supplementary Document	2019-05-23
Attach2-Currently Approved Applications 3.3.2019.pdf Supplementary Document	2019-05-23
Attach1-Mini SSA Request Template.docx Supplementary Document	2019-05-23
SSA_Generic Application-0925-NEW-5-22.19.docx Supporting Statement A	2019-05-23

IC Document Collections

IC ID	Document Title	Status
240968	The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI) Form and Instruction	New
240129	Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI) Form and Instruction	New
238701	NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI) Form and Instruction	New
238538	Communications Fellowship (NCF) Program Application, (NCI) Form and Instruction	New
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI) Form and Instruction	New

ICR Details

OMB Control No: 0925-0761	ICR Reference No: 201905-0925-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/09/2019
	Date Received in OIRA: 06/05/2019
Terms of Clearance: NIH will submit individual collections under this generic clearance to OMB. These submissions will include the actual application instruments along with a completed request template

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	45,000	0	0
Time Burden (Hours)	72,000	0	0
Cost Burden (Dollars)	459,330	0	0

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Abstract: This is a new generic information collection request seeking approval for 3 years. The request “Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions” supports the science and research in a multidisciplinary environment at the National Cancer Institute (NCI), a part of the National Institutes of Health. Applicants may possess a variety of degrees including, but not limited to, high school, post-baccalaureate, graduate, postdoctoral, Registered Nurse, and Doctor of Medicine (MD). Potential applicants may apply for cancer-related positions by submitting applications, resumes, curriculum vitae (CV), reference letters, letters of intent and interest, and other related documentation directly to the Divisions, Offices, and Centers. This information is necessary to evaluate the eligibility, merits, and quality of potential candidates and will also assist in matching potential candidates to various training and internship programs, and specialty positions. The information is for internal use to make decisions about candidates invited to visit and attend NCI fellowships, internships, training opportunities, and apply for specialized staff and faculty positions.

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Authorizing Statute(s): US Code: 42 USC sect 285 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 11987	03/29/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25550	06/03/2019
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Communications Fellowship (NCF) Program Application, (NCI)	3, 2, 1	NCF Application ,   NCF Feedback Survey ,   NCF Reference Letter
NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	2, 1	Applicant application screenshot ,   Reference form screenshot
Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	1, 2	Application ,   Faculty References
The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI)	1	IOTF Application
Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	2, 5, 1, 3, 4	Fellowship Application ,   NCI Summer Curriculum Application ,   Reference Letter ,   Letter of Assurance ,   Proof of Employment

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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	45,000	0	0	45,000	0	0
Annual Time Burden (Hours)	72,000	0	0	72,000	0	0
Annual Cost Burden (Dollars)	459,330	0	0	459,330	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: New submission

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Annual Cost to Federal Government: $61,664

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

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Common Form ICR:  No

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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: 06/05/2019

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