Individual Ruth L. Kirschstein National Research Service Award Applications and Related Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 PHS 6031-1	Form and Instruction	New	Available
Form 1 PHS 6031	Form and Instruction	New	Available
Form 1 416-7	Form and Instruction	New	Available
Form 1 416-1 (reference letters)	Form and Instruction	New	Available
Form 1 416-5	Form and Instruction	New	Available
Form 7 416-1	Form and Instruction	New	Available
Mailing labels.doc	Supplementary Document	Uploaded 2008-07-25	Available
Summary Table of Significant Changes.doc	Supplementary Document	Uploaded 2008-07-25	Available
Privacy Act 09-25-0036 Systems Listing.doc	Supplementary Document	Uploaded 2008-07-25	Available
416 Memo to OMB.docm	Supplementary Document	Uploaded 2008-07-25	Available
CFDA list.pdf	Supplementary Document	Uploaded 2008-07-25	Available
PHS 416 Supporting Statement 08.doc	Supporting Statement A	Uploaded 2008-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7244	416-9	Instruction	Modified
186008	PHS 6031-1	Form and Instruction	New
186007	PHS 6031	Form and Instruction	New
186006	416-7	Form and Instruction	New
186005	416-1 (reference letters)	Form and Instruction	New
186004	416-5	Form and Instruction	New
186003	416-1	Form and Instruction	New

ICR Details

OMB Control No: 0925-0002	ICR Reference No: 200808-0925-001
Status: Historical Active	Previous ICR Reference No: 200507-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Individual Ruth L. Kirschstein National Research Service Award Applications and Related Forms
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: 09/22/2008
	Date Received in OIRA: 08/06/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	10/31/2008
Responses	34,454	0	51,822
Time Burden (Hours)	142,302	0	124,034
Cost Burden (Dollars)	0	0	18,000

---

Abstract: The PHS 416-1 and PHS 416-9 are used by individuals to apply for direct research training support. Awards are made to individual applicants for specified training proposals in biomedical and behavioral research, selected as a result of a national competition. The other related forms are used by these individuals to activate, terminate, and provide for payback of a National Research Service Award.

---

Authorizing Statute(s): US Code: 42 USC 288 Name of Law: National Research Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 13242	03/12/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 45228	08/04/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
PHS 6031-1	1	form
416-1	6, 7, 8, 9, 10, 11, 13, 14, 15, 16, 5, 1, 2, 3, 4	form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form
416-5	1	form
416-1 (reference letters)	1	form
416-7	1	form
PHS 6031	1	form
416-9	1, 2, 3, 4, 4	Form ,   Form ,   Report ,   Table ,   Form

---

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	34,454	51,822	0	-17,368	0	0
Annual Time Burden (Hours)	142,302	124,034	0	18,268	0	0
Annual Cost Burden (Dollars)	0	18,000	0	-18,000	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 difference listed in the burden totals represents an increase of 18,267. This is attributable to the significant increase in number of applications received and the number of applications funded, and respondent count adjustments.

---

Annual Cost to Federal Government: $17,920,000

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

---

Common Form ICR:  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:

(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: 08/06/2008

---