Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

Forms and Documents

Document Name	Status
Form 1 NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH) Form	New
Form 1 NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Private Sector) (NIMH) Form	New
Form 1 NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (State and local) (NIMH) Form	New
Form 1 Multidisciplinary Approaches to Understand Cancer Treatment Resistance (NCI) Form and Instruction	New
Form 1 Future of Cancer Health Economics Research Conference (NCI) Form	New
Form 1 ICURE Registration Sessions 10 and 11 Form and Instruction	New
Form 1 Cannabis, Cannabinoids and Cancer Research Symposium (NCI) Form	New
Form 1 Age-Dependent Changes in Cancer Biology Conference (NCI) Form	New
Form 1 Mouse Models of lupus 10 Years Later Meeting (NCI) Form	New
Form 1 Exploring Analgesic Properties of Minor Cannabinoids & Terpenes (NCCIH) Form	New
Form 1 Strategic Planning Discussion Panel Regarding Training and Diversity (NINDS) Form	New
Form 1 NIH COVID-19 Research Symposium – October 29-30, 2020 (NCI) Form	New
Form 1 Implementation Science and Complementary Health Interventions (NCCIH/OD) Form	New
Form 1 Early Onset Colorectal Think Tank Conference (NCI) Form	New
Form 1 2020 Cohort Consortium Annual Meeting Registration (NCI) Form	New
Form 1 NIH OAR & NIMH Virtual Workshop Registration (NIMH) Form	New
Form 1 2020 NCORP Virtual Annual Meeting Registration (NCI) Form	New
Form 1 ICARE Dialogues Registration Form and Instruction	New
Form 1 ICARE Dialogues Registration (OD) Form and Instruction	New
Form 1 NIH HEAL Initiative℠ Workshop -- Quantitative Evaluation of Myofascial Tissues: Potential Impact for Musculoskeletal Pain Research (NCCIH) Form	New
Form 1 Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Virtual Symposium (FIC) Form and Instruction	New
Form 1 Implementation Science Consortium in Cancer (ISCC) Registration Form (NCI) Form and Instruction	New
Form 1 FY 2021 Center for Cancer Research (CCR) Conferences (NCI) Form	New
Form 1 NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Federal) Form	New
Form 1 NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Private-sector) Form	New
Form 1 Translational Advances in Cancer Prevention Agent Development Meeting (NCI) Form and Instruction	New
Form 1 ORWH Interprofessional Education Courses Form and Instruction	New
Form 1 Patient Advocate Steering Committee (PASC) Meeting (NCI) Form	New
Form 1 2020 Partnerships to Advance Cancer Health Equity (PACHE) Program Meeting (NCI) Form	New
Form 1 Cancer Target Discovery and Development (CTD2) Network Face-to Face Annual Steering Committee Meeting (NCI) Form	New
Form 1 Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Symposium (FIC) Form and Instruction	New
Form 1 GISC Neuroendocrine Tumor Clinical Trials Planning Meeting (NCI Form	New
Form 1 2020 Data Curation Workshop (NLM) Form and Instruction	New
Form 1 Cancer Epidemiology in Hispanic Populations (CEHP) Workshop (NCI) Form	New
Form 1 Intervention Research to Improve Native American Health Research Meeting (NCI) Form and Instruction	New
Form 1 2020 Professional Development Workshop and Mentored Mock Review (NCI) Form	New
Form 1 Registration Information collection for the NIH Sexual & Gender Minority Research Office (SGMRO) -- Regional Workshop (SGMRO/OD) Form and Instruction	Unchanged
Form 1 Division of Cancer Control and Population Science Webinar Registration (NCI) Form and Instruction	Unchanged
Form 1 2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management (NCI) Form	Unchanged
Form 1 Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM) Form and Instruction	Unchanged
Form 1 2020 Immunology and Immunotherapy Conference (NCI) Form and Instruction	Unchanged
Form 1 Multilevel Intervention Training Institute (MLTI) (NCI) Form and Instruction	Unchanged
Form 1 Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM) Form	Unchanged
Form 1 Registration and scientific abstract collection for the 2020 High-Risk, High-Reward Research Symposium (OD) Form and Instruction	Unchanged
Form 1 Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form Form and Instruction	Unchanged
Form 1 2020 Health Disparities Research Institute (HDRI) Form and Instruction	Unchanged
Form 1 RNA Imaging and Intracellular Dynamics Workshop (NCI) Form and Instruction	Unchanged
Form 1 3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI) Form and Instruction	Unchanged
Form 1 2020 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators (PI) Meeting Conference Registration (NINDS) Form and Instruction	Unchanged
Form 1 NIH Blueprint Enhancing Neuroscience Diversity through Undergraduate Research Education Experiences (ENDURE) 9th Annual Meeting (NINDS) Form and Instruction	Unchanged
Form 1 Division of Cancer Control and Population Sciences (DCCPS) and Division of Cancer Prevention (DCP) 2019 New Grantee Workshop November 21-22 (NCI) Form and Instruction	Unchanged
Form 1 Annual Norman P. Salzman Memorial Award and Symposium in Virology (NCI) Form and Instruction	Unchanged
Form 1 Symposium on Participant Control of Genomic Data for Research (NCI) Form and Instruction	Unchanged
Form 1 Frontiers in Light Microscopy - Multiscale Imaging: From Organelles to Organisms (NCI) Form and Instruction	Unchanged
Form 1 Center for Excellence in Chromosome Biology (CECB), Chromatin and Cell Fate Decisions in Development, Aging & Cancer Conference (NCI) Form and Instruction	Unchanged
Form 1 The Cognition and Medical Image Perception Think Tank Registration Form (NCI) Form	Unchanged
Form 1 Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI) Form and Instruction	Unchanged
Form 1 DCCPS Fellows Symposium Submission (NCI) Form	Unchanged
Form 1 Registration and Abstract Submission for the Cohort Consortium 2019 Annual Meeting (NCI) Form and Instruction	Unchanged
OD_SGMRO_Regional Workshop_OMB 0925-0740.Revision.docx Supplementary Document	2020-02-11
SGMRO_Change_Request_Memo_02-13-2020.docx Justification for No Material/Nonsubstantive Change	2020-02-11
EDI Demographic Form for NIH Trainees and Fellows Survey Instrument_Revision.docx Supplementary Document	2019-10-22
EDI_Change_Request_Memo_10-21-2019.doc Justification for No Material/Nonsubstantive Change	2019-10-22
0740 Supporting Statement A-2019 (2).docx Supporting Statement A	2019-05-31
0740 Published 30day FRN.pdf Supplementary Document	2019-05-31
NIH Generic 0740 Template Example.doc Supplementary Document	2019-05-31
Privacy Act Sorn Letter.pdf Supplementary Document	2019-05-14

IC Document Collections

IC ID	Document Title	Status
243925	NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH) Form	New
243924	NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Private Sector) (NIMH) Form	New
243923	NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (State and local) (NIMH) Form	New
243905	Multidisciplinary Approaches to Understand Cancer Treatment Resistance (NCI) Form and Instruction	New
243895	Future of Cancer Health Economics Research Conference (NCI) Form	New
243891	ICURE Registration Sessions 10 and 11 Form and Instruction	New
243866	Cannabis, Cannabinoids and Cancer Research Symposium (NCI) Form	New
243855	Age-Dependent Changes in Cancer Biology Conference (NCI) Form	New
243820	Mouse Models of lupus 10 Years Later Meeting (NCI) Form	New
243471	Exploring Analgesic Properties of Minor Cannabinoids & Terpenes (NCCIH) Form	New
243429	Strategic Planning Discussion Panel Regarding Training and Diversity (NINDS) Form	New
243428	NIH COVID-19 Research Symposium – October 29-30, 2020 (NCI) Form	New
243299	Implementation Science and Complementary Health Interventions (NCCIH/OD) Form	New
243276	Early Onset Colorectal Think Tank Conference (NCI) Form	New
243275	2020 Cohort Consortium Annual Meeting Registration (NCI) Form	New
243177	NIH OAR & NIMH Virtual Workshop Registration (NIMH) Form	New
242927	2020 NCORP Virtual Annual Meeting Registration (NCI) Form	New
242818	ICARE Dialogues Registration Form and Instruction	New
242630	ICARE Dialogues Registration (OD) Form and Instruction	New
242599	NIH HEAL Initiative℠ Workshop -- Quantitative Evaluation of Myofascial Tissues: Potential Impact for Musculoskeletal Pain Research (NCCIH) Form	New
242315	Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Virtual Symposium (FIC) Form and Instruction	New
242270	Implementation Science Consortium in Cancer (ISCC) Registration Form (NCI) Form and Instruction	New
242267	FY 2021 Center for Cancer Research (CCR) Conferences (NCI) Form	New
241750	NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Federal) Form	New
241749	NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Private-sector) Form	New
241306	Translational Advances in Cancer Prevention Agent Development Meeting (NCI) Form and Instruction	New
240786	ORWH Interprofessional Education Courses Form and Instruction	New
240679	Patient Advocate Steering Committee (PASC) Meeting (NCI) Form	New
240269	2020 Partnerships to Advance Cancer Health Equity (PACHE) Program Meeting (NCI) Form	New
240133	Cancer Target Discovery and Development (CTD2) Network Face-to Face Annual Steering Committee Meeting (NCI) Form	New
240132	Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Symposium (FIC) Form and Instruction	New
240093	GISC Neuroendocrine Tumor Clinical Trials Planning Meeting (NCI Form	New
240067	2020 Data Curation Workshop (NLM) Form and Instruction	New
240066	Cancer Epidemiology in Hispanic Populations (CEHP) Workshop (NCI) Form	New
240065	Intervention Research to Improve Native American Health Research Meeting (NCI) Form and Instruction	New
240064	2020 Professional Development Workshop and Mentored Mock Review (NCI) Form	New
239771	Registration Information collection for the NIH Sexual & Gender Minority Research Office (SGMRO) -- Regional Workshop (SGMRO/OD) Form and Instruction	Unchanged
239678	Division of Cancer Control and Population Science Webinar Registration (NCI) Form and Instruction	Unchanged
239578	2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management (NCI) Form	Unchanged
239373	Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM) Form and Instruction	Unchanged
239322	2020 Immunology and Immunotherapy Conference (NCI) Form and Instruction	Unchanged
239320	Multilevel Intervention Training Institute (MLTI) (NCI) Form and Instruction	Unchanged
239250	Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM) Form	Unchanged
238950	Registration and scientific abstract collection for the 2020 High-Risk, High-Reward Research Symposium (OD) Form and Instruction	Unchanged
238887	Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form Form and Instruction	Unchanged
238748	2020 Health Disparities Research Institute (HDRI) Form and Instruction	Unchanged
238532	RNA Imaging and Intracellular Dynamics Workshop (NCI) Form and Instruction	Unchanged
238531	3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI) Form and Instruction	Unchanged
238530	2020 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators (PI) Meeting Conference Registration (NINDS) Form and Instruction	Unchanged
237650	NIH Blueprint Enhancing Neuroscience Diversity through Undergraduate Research Education Experiences (ENDURE) 9th Annual Meeting (NINDS) Form and Instruction	Unchanged
237478	Division of Cancer Control and Population Sciences (DCCPS) and Division of Cancer Prevention (DCP) 2019 New Grantee Workshop November 21-22 (NCI) Form and Instruction	Unchanged
237365	Annual Norman P. Salzman Memorial Award and Symposium in Virology (NCI) Form and Instruction	Unchanged
237306	Symposium on Participant Control of Genomic Data for Research (NCI) Form and Instruction	Unchanged
237261	Frontiers in Light Microscopy - Multiscale Imaging: From Organelles to Organisms (NCI) Form and Instruction	Unchanged
237260	Center for Excellence in Chromosome Biology (CECB), Chromatin and Cell Fate Decisions in Development, Aging & Cancer Conference (NCI) Form and Instruction	Unchanged
237258	The Cognition and Medical Image Perception Think Tank Registration Form (NCI) Form	Unchanged
237257	Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI) Form and Instruction	Unchanged
237087	DCCPS Fellows Symposium Submission (NCI) Form	Unchanged
237086	Registration and Abstract Submission for the Cohort Consortium 2019 Annual Meeting (NCI) Form and Instruction	Unchanged

ICR Details

OMB Control No: 0925-0740	ICR Reference No: 202002-0925-005
Status: Historical Active	Previous ICR Reference No: 201910-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/19/2020
	Date Received in OIRA: 02/11/2020
Terms of Clearance: Previous terms continue: All GenICs submitted under this Generic will have an accompanying memo (see template in supplementary documents) and instrument.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	07/31/2022	07/31/2022
Responses	34,500	0	34,500
Time Burden (Hours)	26,625	0	26,625
Cost Burden (Dollars)	390,415	0	390,415

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Abstract: NIH is extending this generic clearance to provide a quick and efficient process to create registration forms and abstract request for NIH sponsored conferences, meetings, workshops, poster sessions, presentations, panels and other educational resource projects and activities. Means of obtaining the information can be made and presented either in person or online.

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Authorizing Statute(s): US Code: 42 USC 258 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 8882	03/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25291	05/31/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 59

IC Title	Form No.	Form Name
NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH)	1	NIMH and NIMHD Virtual Workshop Registration form
Translational Advances in Cancer Prevention Agent Development Meeting (NCI)	1, 2	Abstract submission ,   Registration
ICARE Dialogues Registration	1	ICARE Registration
NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Private-sector)	1	Joint Alliance-Coalition for Research Progress Meeting Registration form
Exploring Analgesic Properties of Minor Cannabinoids & Terpenes (NCCIH)	1	Registration form
Age-Dependent Changes in Cancer Biology Conference (NCI)	1	Registration
Strategic Planning Discussion Panel Regarding Training and Diversity (NINDS)	1	TD Faculty Panel Registration form
Intervention Research to Improve Native American Health Research Meeting (NCI)	2, 1	IRINAH Abstract ,   IRINAH Registration
Registration and Abstract Submission for the Cohort Consortium 2019 Annual Meeting (NCI)	1	Registration and Abstract Submission NCI Cohort Consortium 2019
Frontiers in Light Microscopy - Multiscale Imaging: From Organelles to Organisms (NCI)	1	Frontiers Registration
Annual Norman P. Salzman Memorial Award and Symposium in Virology (NCI)	1, 2	2019 Salzman Award Abstract ,   2019 Salzman Award Registration
3rd Symposium on Cancer Health Disparities Supported by CCR Cancer Health Disparities Interest Group (NCI)	1, 2	Registration Page ,   Abstract Page
Cannabis, Cannabinoids and Cancer Research Symposium (NCI)	1	Cannabis meeting Registration form
ICARE Dialogues Registration (OD)	1	ICARE Dialogues Registration
Implementation Science and Complementary Health Interventions (NCCIH/OD)	1	Registration screenshot
2020 Trans-NCI-NIH Conference: International Perspectives on Integrative Medicine for Cancer Prevention and Cancer Patient Management (NCI)	1, 2	Registration ,   Abstract
Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM)	1	2020 ODS DSRP registration application form
Registration and scientific abstract collection for the 2020 High-Risk, High-Reward Research Symposium (OD)	1	Registration and Abstract Form
Implementation Science Consortium in Cancer (ISCC) Registration Form (NCI)	1	ISCC Regisgtration form
NIMH Joint Alliance-Coalition for Research Progress Meeting Registration Form (Federal)	1	NIMH Joint Alliance-Coalition for Research Progress Meeting Registration
Mouse Models of lupus 10 Years Later Meeting (NCI)	1, 2	Registration ,   Abstract submission
RNA Imaging and Intracellular Dynamics Workshop (NCI)	2, 1	RNA Imaging registration page ,   RNA Imaging Abstract page
Early Onset Colorectal Think Tank Conference (NCI)	1	Registration form
Future of Cancer Health Economics Research Conference (NCI)	1	Health and Economics Registration
Patient Advocate Steering Committee (PASC) Meeting (NCI)	1	PASC online registration
2020 Professional Development Workshop and Mentored Mock Review (NCI)	1, 2	PDW Abstract Page ,   PDW Registration Page
GISC Neuroendocrine Tumor Clinical Trials Planning Meeting (NCI	1	Registration
Division of Cancer Control and Population Science Webinar Registration (NCI)	1	DCCPS Webinar Registration
2020 Immunology and Immunotherapy Conference (NCI)	1, 2	Registration Page ,   Abstract page
Symposium on Participant Control of Genomic Data for Research (NCI)	1, 2	abstract ,   registration
2020 Cohort Consortium Annual Meeting Registration (NCI)	1	Cohort Consortium Registration page
Multidisciplinary Approaches to Understand Cancer Treatment Resistance (NCI)	1	Registration
Cancer Target Discovery and Development (CTD2) Network Face-to Face Annual Steering Committee Meeting (NCI)	1, 2	CTD2 Abstract page ,   CTD2 Registration Page
NIH COVID-19 Research Symposium – October 29-30, 2020 (NCI)	1	Registration Page
NIH HEAL Initiative℠ Workshop -- Quantitative Evaluation of Myofascial Tissues: Potential Impact for Musculoskeletal Pain Research (NCCIH)	1	Myofascial pain Registration Form
Population Health Assessment in Cancer Center Catchment Areas Closeout Grantee Meeting (NCI)	2, 1	Pop Health 2020 meeting Registration ,   Pop Health 2020 meeting Abstract submission
NIH Blueprint Enhancing Neuroscience Diversity through Undergraduate Research Education Experiences (ENDURE) 9th Annual Meeting (NINDS)	1, 2	Abstract submission ,   Registration
2020 Health Disparities Research Institute (HDRI)	1	HDRI Application
2020 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators (PI) Meeting Conference Registration (NINDS)	1, 3, 2	BRAIN Meeting Registration 2020 Trainee form ,   General Abstract Submission 2020 General Attendees form ,   Symposium Abstract Submission 2020 Investigator form
Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM)	1	ODS DSRP Registration form
2020 Partnerships to Advance Cancer Health Equity (PACHE) Program Meeting (NCI)	1, 2	PAHCE 2020 Registration page ,   PACHE 2020 Abstract page
ORWH Interprofessional Education Courses	1	ORWH Registration Form
Cancer Epidemiology in Hispanic Populations (CEHP) Workshop (NCI)	1	CEHP Workshop Registration
2020 Data Curation Workshop (NLM)	1, 2	Workshop Abstract submission ,   Workshop Registration
Multilevel Intervention Training Institute (MLTI) (NCI)	1	MLTI 2020 Website screenshot
Division of Cancer Control and Population Sciences (DCCPS) and Division of Cancer Prevention (DCP) 2019 New Grantee Workshop November 21-22 (NCI)	2, 4, 1, 3	NGW abstract ,   NGW Registration ,   2019 Assessment Survey NGW ESI Day 1 ,   2019 Assessment Survey NGW ESI Day 2
NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (State and local) (NIMH)	1	NIMH and NIMHD Virtual Workshop Registration form
NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Private Sector) (NIMH)	1	NIMH and NIMHD Virtual Workshop Registration form
ICURE Registration Sessions 10 and 11	1	Registration Form
Center for Excellence in Chromosome Biology (CECB), Chromatin and Cell Fate Decisions in Development, Aging & Cancer Conference (NCI)	2, 1	CECB Abstract ,   CECB Registration page
The Cognition and Medical Image Perception Think Tank Registration Form (NCI)	1	Registration Page
2020 NCORP Virtual Annual Meeting Registration (NCI)	1	NCORP Annual Meeting Registration
Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Virtual Symposium (FIC)	1	DS-I Africa Vitrual Symposium Registration form
NIH OAR & NIMH Virtual Workshop Registration (NIMH)	1	NIH OAR NIMH Virtual Workshop Registration form
FY 2021 Center for Cancer Research (CCR) Conferences (NCI)	1, 2	Abstract page ,   Registration page
Request an Invitation Online for the Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Symposium (FIC)	1	request invite screenshots
DCCPS Fellows Symposium Submission (NCI)	1, 2	screenshot for Mentor of the Year Award ,   screenshot Registration and Abstract Submission form
Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form	1	screenshot of Travel Award Form for Curing the Epilepsies 2020
Registration Information collection for the NIH Sexual & Gender Minority Research Office (SGMRO) -- Regional Workshop (SGMRO/OD)	1	Sexual Gender Minority Research Office Regional Workshop

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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	34,500	34,500	0	0	0	0
Annual Time Burden (Hours)	26,625	26,625	0	0	0	0
Annual Cost Burden (Dollars)	390,415	390,415	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $13,672

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: 02/11/2020

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