Specimen Resource Location (SRL) NCI

Forms and Documents

Document Name	Status
Form 2 Federal Government Annual Update Form	Modified
Form 2 State Government Annual Update Form	Modified
Form 2 Private Sector Annual Update Form	Modified
Form 1 Federal Government Initial Request Form	Modified
Form 1 State Government Initial Request Form	Modified
Form 1 Private Sector Initial Request Form	Modified
30-day FRN 2020-19446.pdf Supplementary Document	2020-09-03
A4 - Privacy Act Memo - SRL.pdf Supplementary Document	2020-08-26
A1 - Invitation Letter (2).docx Supplementary Document	2020-08-26
SSA - SRL - Extension FINAL.docx Supporting Statement A	2020-08-26

IC Document Collections

IC ID	Document Title	Status
228621	Federal Government Annual Update Form	Modified
228620	State Government Annual Update Form	Modified
228619	Private Sector Annual Update Form	Modified
228618	Federal Government Initial Request Form	Modified
228617	State Government Initial Request Form	Modified
228616	Private Sector Initial Request Form	Modified

ICR Details

OMB Control No: 0925-0703	ICR Reference No: 202008-0925-001
Status: Active	Previous ICR Reference No: 201710-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Specimen Resource Location (SRL) NCI
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: 11/19/2020
	Date Received in OIRA: 09/03/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2023	36 Months From Approved	11/30/2020
Responses	250	0	250
Time Burden (Hours)	105	0	105
Cost Burden (Dollars)	0	0	0

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Abstract: Department of Health and Human Services (DHHS), National Institutes of Health (NIH), National Cancer Institute (NCI), seeks to obtain OMB approval to extend the Specimen Resource Locator (SRL) collection for an additional three (3) years. The availability of specimens and associated data is critical to increase our knowledge of cancer biology, and to translate important research discoveries to clinical application.

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Authorizing Statute(s): US Code: 42 USC section 410 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:
	85 FR 36871	06/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 55019	09/03/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Private Sector Annual Update	2	Annual email Update
State Government Annual Update	2	Annual Email Update
State Government Initial Request	1	Initial Request screenshot
Private Sector Initial Request	1	Initial Request screenshot
Federal Government Initial Request	1	Initial Request screenshot
Federal Government Annual Update	2	Annual email Update

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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	250	250	0	0	0	0
Annual Time Burden (Hours)	105	105	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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: $31,681

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.     No

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.     No

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

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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: 09/03/2020

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