Mini Supporting Statement A
Name of Study
OMB# 0925-0761
Expiration Date: 07/31/2022
(A Generic Submission for Generic Clearance for Application Information from
Fellows, Interns, and Trainees, National Cancer Institute)
Date
Contact Information
Name:
Address:
Telephone:
Email:
List of Attachments
Attachment 1: Application
Attachment 2: Reference Letter
Mini Supporting Statement A
A.1 Circumstances Making the Collection of Information Necessary
The National Cancer Institute’s (NCI) goal is to train cancer researchers for the 21st Century. To that end, applications and supporting documentation involving fellows, interns, and trainees enables the development of a workforce capable of advancing cancer research through a scientifically integrated approach. This request fulfills the requirements of the National Cancer Institute (NCI) training authority as established under: Section 413 (b) (3) of the Public Health Service Act, 42 USC 285a-2 (b) (3), as amended pertaining to the NCI, which states that the NCI Director, in carrying out the National Cancer Program . . . shall . . . "support appropriate programs of education and training (including continuing education and laboratory and clinical research training)”.
The [Division/Office/Center] is proposing an application to support fellows in pursuing training…
All applications will be voluntary, low-burden, non-controversial, and will not raise issues of concern to Federal agencies. The results are not intended to be disseminated to the public. The information is for internal use to make decisions about candidates invited to visit and attend NCI fellowships, internships, and other training opportunities.
A.2 Purpose and Use of the Information Collection
The purpose of the proposed information collection activity is to:
Assure that prospective candidates meet basic eligibility requirements.
Assess their potential as future researchers, physicians, and health care professionals.
Determine where mutual research interests exist; and
Make decisions regarding which applicants will be recommended and approved for a variety of awards.
This request will include an on-line application, a CV, transcript, diversity statement, tax forms (if claiming financial disadvantage), and three reference letters.
A.3 Use of Information Technology to Reduce Burden
Information will be collected electronically except for the reference letters which may be mailed or sent by mail.
A.4 Efforts to Identify Duplication
There are no other information collections similar to this request.
A.5 Impact on Small Businesses or Other Small Entities
This information collection will have no impact on small businesses or other small entities.
A.6 Consequences of Collecting the Information Less Frequently
The information will be voluntarily collected once per year.
A.7 Special Circumstances Relating to the Guidelines of 5 CFR 1320.5
This request fully complies with 5 C.F.R. 1320.5.
A.8 Comments in Response to the Federal Register Notice and Efforts to Consult Outside Agency
N/A
A.9 Explanation of Any Payment of Gift to Respondents
There will be no payments or gifts to respondents.
A.10 Assurance of Confidentiality Provided to Respondents
This information collection does request personally identifiable information including name, contact information, education, socioeconomic status, and employment history.
The information collected is subject to the Privacy Act System of Records Notices, including:
• 09-25-0014 – Clinical Research: Student Records, HHS/NIH/OD/OIR/OE
• 09-25-0108 – Personnel: Guest Researchers, Special Volunteers, and Scientists Emeriti, HHS/NIH/OHRM
• 09-25-0140 – International Scientific Researchers in Intramural Laboratories, ORS/DIRS
• 09-25-0158 – Administration Records of Applicants and Awardees of the Intramural Research Training
Awards Program, HHS/NIH/OD/OE
• 09-25-0165 – Office of Loan Repayment and Scholarship (OLRS), HHS/NIH/OD
A.11 Justification for Sensitive Questions
Sensitive questions are asked including race/ethnicity, gender, birth year, and disabilities. All questions are voluntary and used to assess equitable access. In addition, responses to these questions allows the NCI offices to accommodate special needs.
A.12 Estimates of Hour Burden Including Hourly Costs
The
estimated burden is expected to be XX hours (Table A.12-1).
Table A.12-1 Estimated Burden Hours
Type of Respondent |
Number of Respondents |
Number of Responses per Respondent |
Average Time Per Response (in hours) |
Total Burden Hours |
Individuals |
|
1 |
X/60 |
|
Total |
|
|
|
|
The estimated cost to respondents is expected to be X (Table A.12-2).
Table A.12-2 Cost to the Respondents
Type of Respondents |
Total Annual Burden Hours |
Hourly Wage Rate* |
Respondent Cost |
Individuals |
|
|
|
Total |
|
|
|
*Source of the Hourly Wage Rate is provided by the Bureau of Labor Statistics, Occupation title “Medical Scientists” 19-1040 (or substitute another occupation title that is more appropriate), https://www.bls.gov/oes/2020/May/oes_nat.htm#00-0000.
A.13 Estimate of Other Total Annual Cost Burden to Respondents or Record Keepers
There is no capital, operating or maintenance costs to report.
A.14 Annualized Cost to the Federal Government
The estimated cost to the Federal government is $X. This includes FTE and contract cost.
A.14-1 Annualized Cost to the Federal Government
Staff |
Grade/Step |
Salary** |
% of Effort |
Fringe (if applicable) |
Total Cost to Gov’t |
Federal Oversight |
|
|
|
|
|
Title |
|
|
|
|
|
Contractor Cost |
|
|
|
|
|
Travel |
|
|
|
|
|
Other Cost |
|
|
|
|
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Total |
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|
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**The salary in the table above is cited from https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/22Tables/html/DCB.aspx
A.15 Explanation for Program Changes or Adjustments
This is a mini Supporting Statement for a generic information collection.
A.16 Plans for Tabulation and Publication and Project Time Schedule
There are no plans for tabulation or publication. The opening and closing times for the application is…X.
A.17 Reason(s) Display of OMB Expiration Date is Inappropriate
We are not requesting an exemption to the display of the OMB Expiration date.
A.18 Exceptions to Certification for Paperwork Reduction Act Submissions
This request will comply with the requirements in 5 CFR 1320.9.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sarah Ward |
File Modified | 0000-00-00 |
File Created | 2022-06-01 |