SURF Fellow Housing Application

ICR 202205-0693-001

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
2022-05-20
IC Document Collections
IC ID
Document
Title
Status
235574 Modified
ICR Details
0693-0084 202205-0693-001
Received in OIRA 201904-0693-001
DOC/NIST MO
SURF Fellow Housing Application
Extension without change of a currently approved collection   No
Regular 05/20/2022
  Requested Previously Approved
36 Months From Approved 05/31/2022
220 220
110 110
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

  87 FR 3975 01/26/2022
87 FR 30872 05/20/2022
Yes

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

  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 220 220 0 0 0 0
Annual Time Burden (Hours) 110 110 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$990,000
No
    Yes
    Yes
No
No
No
No
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.
05/20/2022


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