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 2 Form	Form	Modified	Available
Form 4 Table	Form	Modified	Available
Form 3 Form	Form	Modified	Available
Form 2 Form	Form	Modified	Available
Form 1 Form	Form	Modified	Available
Form 4 Report	Form	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 13 form	Form	Modified	Available
Form 17 416-1	Form and Instruction	Modified	Available
Form 18 form	Form	Modified	Available
Form 16 form	Form and Instruction	Modified	Available
Form 15 form	Form and Instruction	Modified	Available
Form 14 form	Form and Instruction	Modified	Available
Form 1 form	Form and Instruction	Modified	Available
Form 11 form	Form and Instruction	Modified	Available
Form 10 form	Form and Instruction	Modified	Available
Form 9 form	Form and Instruction	Modified	Available
Form 7 form	Form and Instruction	Modified	Available
Form 19 form	Form and Instruction	Modified	Available
Form 6 form	Form and Instruction	Modified	Available
Form 5 form	Form and Instruction	Modified	Available
Form 4 form	Form and Instruction	Modified	Available
Form 3 form	Form	Modified	Available
Form 2 form	Form and Instruction	Modified	Available
Form 8 form	Form and Instruction	Modified	Available
PHS 416-9 fp2.doc	Supplementary Document	Uploaded 2009-09-04	Available
OMB change in PHS 416-9.DOC	Justification for No Material/Nonsubstantive Change	Uploaded 2009-09-04	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0925-0002	ICR Reference No: 200909-0925-002
Status: Historical Active	Previous ICR Reference No: 200905-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Individual Ruth L. Kirschstein National Research Service Award Applications and Related Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/14/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/14/2009
Terms of Clearance: When submitting change request packages to OMB, please include the Supporting Statements associated with the original package that is being ammended.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	06/30/2012	06/30/2012
Responses	34,454	0	34,454
Time Burden (Hours)	132,502	0	132,502
Cost Burden (Dollars)	0	0	0

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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.

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

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
416-1	8, 2, 3, 4, 5, 6, 19, 7, 9, 10, 11, 1, 14, 15, 16, 18, 17, 13	form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   form ,   416-1 ,   form
416-1 (reference letters)	1	form
416-5	1	form
416-7	1	form
416-9	1, 2, 3, 4, 4, 2	Form ,   Form ,   Form ,   Report ,   Table ,   Form
PHS 6031	1	form
PHS 6031-1	1	form

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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	34,454	34,454	0	0	0	0
Annual Time Burden (Hours)	132,502	132,502	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: $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)? No

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: 09/14/2009

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