National Institutes of Health Loan Repayment Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Survey	Form	Modified	Available
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Available
NIH_SOR_DLR_LRP_Update_June2007_FinalDraft.doc	Supplementary Document	Uploaded 2008-03-18	Repair queued
Privacy Act System of Records Notice.pdf	Supplementary Document	Uploaded 2008-03-18	Available
SS- LRP.doc	Supporting Statement A	Uploaded 2008-03-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7282	Intramural/InitialApplications	Instruction	Modified
7282	Intramural/InitialApplications	Form	Modified	Survey
184374	Extramural/ Recommenders	Instruction	New
184374	Extramural/ Recommenders	Form	New	Survey
184373	Extramural/ Advisors and Supervisors	Form	New	Survey
184373	Extramural/ Advisors and Supervisors	Instruction	New
184372	Extramural/ Renewal Applicants	Instruction	New
184372	Extramural/ Renewal Applicants	Form	New	Survey
184371	Intramural/ Advisors and Supervisors	Instruction	New
184371	Intramural/ Advisors and Supervisors	Form	New	Survey
184370	Intramural/ Renewal Applications	Instruction	New
184370	Intramural/ Renewal Applications	Form	New	Survey
184369	Extramural/ Financial Institutions	Instruction	New
184369	Extramural/ Financial Institutions	Form	New	Survey
184368	Extramural/ Recommenders	Instruction	New
184368	Extramural/ Recommenders	Form	New	Survey
184367	Extramural/ Advisors and Supervisors	Instruction	New
184367	Extramural/ Advisors and Supervisors	Form	New	Survey
184366	Extramural/ Initial Applicants	Instruction	New
184366	Extramural/ Initial Applicants	Form	New	Survey
184365	Intramural/ Financial Institutions	Instruction	New
184365	Intramural/ Financial Institutions	Form	New	Survey
184364	Intramural/Recommenders	Instruction	New
184364	Intramural/Recommenders	Form	New	Survey
184363	Intramural/Advisors and Supervisors	Form	New	Survey
184363	Intramural/Advisors and Supervisors	Instruction	New

ICR Details

OMB Control No: 0925-0361	ICR Reference No: 200804-0925-001
Status: Historical Active	Previous ICR Reference No: 200503-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Institutes of Health Loan Repayment Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/12/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/07/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	06/30/2008
Responses	15,755	0	12,468
Time Burden (Hours)	36,331	0	29,038
Cost Burden (Dollars)	0	0	0

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Abstract: The Loan Repayment Programs are designed to provide repayment of existing eligible loans of up to $35,000 per year to qualified health professionals performing research in fields required by the NIH to support its mission. Approximately 1,675 new applicants and 800 renewal applicants are expected to submit application packages.

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Authorizing Statute(s): US Code: 42 USC 288-1 Name of Law: AIDS Research loan Repayment Program
  

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:
	72 FR 73030	12/26/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 18289	04/03/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Extramural/ Advisors and Supervisors	1	Survey
Extramural/ Advisors and Supervisors	1	Survey
Extramural/ Financial Institutions	1	Survey
Extramural/ Initial Applicants	1	Survey
Extramural/ Recommenders	1	Survey
Extramural/ Recommenders	1	Survey
Extramural/ Renewal Applicants	1	Survey
Intramural/ Advisors and Supervisors	1	Survey
Intramural/ Financial Institutions	1	Survey
Intramural/ Renewal Applications	1	Survey
Intramural/Advisors and Supervisors	1	Survey
Intramural/InitialApplications	1	Survey
Intramural/Recommenders	1	Survey

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ICR Summary of Burden

table that charts list 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	15,755	12,468	0	3,287	0	0
Annual Time Burden (Hours)	36,331	29,038	0	7,293	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden hours for the eight programs have been increased by 7,291.31. This number reflects adjustments for the greater number of initial applicants for the extramural programs (from 1,600 applicants to 1,900 applicants), as well as a greater number of renewal applicants for the extramural program (from 800 to 1,225 applicants). These changes will bring the total burden hours for the eight programs to 36,331.5 hours.

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Annual Cost to Federal Government: $1,794,667

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 04/07/2008

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