DERT Extramural Grantee Data Collection (NIEHS)

Forms and Documents

Document Name	Status
Form 2 NIEHS simplified data collection form Form	Modified
Form 1 DERT Extramural Grantee Data Collection Survey Form	Unchanged
pub 30day FRN2021-24920.pdf Supplementary Document	2021-11-16
Supporting Statement A 11.10.2021.docx Supporting Statement A	2021-11-16
Attachment II PIA for NIEHS DERT Extramural Granttee Data Collection DEGDC (Feb 2012).pdf Supplementary Document	2021-11-16

IC Document Collections

IC ID	Document Title	Status
234598	NIEHS simplified data collection form Form	Modified
233400	DERT Extramural Grantee Data Collection Survey Form	Unchanged

ICR Details

OMB Control No: 0925-0757	ICR Reference No: 202109-0925-001
Status: Received in OIRA	Previous ICR Reference No: 201812-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: DERT Extramural Grantee Data Collection (NIEHS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 11/16/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	1,640	1,640
Time Burden (Hours)	740	740
Cost Burden (Dollars)	0	0

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Abstract: The National Institute of Environmental Health Sciences (NIEHS) is requesting a revision to the "Simplified" (short form) of our clearance for the Extramural Grantee Data Collection Survey “Common Form”

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Authorizing Statute(s): US Code: 42 USC 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:
	86 FR 50897	09/13/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63405	11/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
DERT Extramural Grantee Data Collection Survey	1	NIEHS DERT Grantee Survey
NIEHS simplified data collection form	2	NIEHS Simplified Form

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ICR Summary of Burden

	Total Request	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	1,640	1,640	0	0	0	0
Annual Time Burden (Hours)	740	740	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: $13,442

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:  Yes

Description/Changes for Common Form Usage:  We received feedback from the grantees that they would like to have more defined fields in which to enter their data. Grantees also indicated that there were several other activities they would like to report on. In response, we have expanded the list of activities that grantees can report on in the simplified form of the survey, see Attachment III

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 11/16/2021

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