Research and Research Training Grant Applications and Related Forms

Forms and Documents

Document Name	Status
Form 3A 398 Forms and Instructions (Paper) Form	Modified
Form Attachment 10 6031 Form and Instruction	New
Form Attachment 9 416-5 Form and Instruction	New
Form 6A PHS Fellowship Supplemental Form (electronic) Form and Instruction	New
Form 1 3734 Form	Removed
Form 1 568 Form	Removed
Form 1 2271 Form	Removed
Form 1 2590 Form	Removed
Form 1 iEdison Form	Removed
Form 1 CDA Letters Form	Removed
Form 5A 398 Forms and Instructions (Electronic) Form and Instruction	Modified
Attachment 8 Fellowship Transfer Instructions.doc Supplementary Document	2012-06-30
Attachment 1 Former and Revised Content of Information Collections.docx Supplementary Document	2012-06-30
Attachment 2 CFDA.xlsx Supplementary Document	2012-06-30
Attachment 12 eRA Commons Profile Data Elements.xls Supplementary Document	2012-06-30
Supporting Statement for 0925-0001 June 26 2012.docx Supporting Statement A	2012-06-30

IC Document Collections

IC ID	Document Title	Status
37814	398 Forms and Instructions (Paper) Form	Modified
202980	6031 Form and Instruction	New
202979	416-5 Form and Instruction	New
202963	416-1 Instruction	New
202959	PHS Fellowship Supplemental Form (electronic) Form and Instruction	New
182179	3734 Form	Removed
182178	568 Form	Removed
182177	2271 Form	Removed
182176	2590 Form	Removed
182175	iEdison Form	Removed
182172	CDA Letters Form	Removed
182171	398 Forms and Instructions (Electronic) Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0001	ICR Reference No: 201206-0925-007
Status: Historical Active	Previous ICR Reference No: 201101-0925-007
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Research and Research Training Grant 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: 08/06/2012
	Date Received in OIRA: 06/30/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	94,326	0	160,135
Time Burden (Hours)	2,051,794	0	2,251,501
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institutes of Health (NIH) and other Public Health Service (PHS) agencies currently use the Research and Research Training Grant Applications and Related Forms (0925-0001) and Ruth L. Kirschstein National Research Service Award (NRSA) Applications and Related Forms (0925-0002). Both 0925-0001 and 0925-0002 will expire on June 30, 2012. In 2009, application and pre-award related forms were simultaneously submitted under both 0925-0001 and 0925-0002. This 0925-0001 submission consolidates application and other related pre-award reporting requirements previously collected under 0925-0001 and 0925-002. Post-award reporting requirements previously collected under 0925-0001 and 0925-0002, and the New Research Performance Progress Report (RPPR), are similarly consolidated and concurrently submitted under 0925-0002.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service
   US Code: 42 USC 285 Name of Law: public Health Serice Act
   US Code: 42 USC 216 Name of Law: Public health Service Act
   US Code: 42 USC 286 Name of Law: Public Health Service Act
   US Code: 42 USC 300 Name of Law: Public Health Service Act
   US Code: 42 USC 288 Name of Law: Public Health Serive 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
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13132	03/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38842	06/29/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
416-1	7B, 7C, 7D, 7E, 7F, 7G, 7H, 7C	Face Page ,   Face Page 3 ,   Project Performance Site Format ,   Face Page 4 ,   SPONSOR/CO-SPONSOR BIOGRAPHICAL SKETCH ,   Checklist Form Page ,   Continuation Page ,   Face Page 2
416-5	Attachment 9	Fellowship Activation Notice
6031	Attachment 10	Payment Agreement
CDA Letters	1	Career Development
398 Forms and Instructions (Paper)	3A, 3B	PHS 398 Paper Application Forms ,   PHS 398
398 Forms and Instructions (Electronic)	5G, 5A, 5B, 5C, 5D, 5E	Components of an Application to NIH or Other PHS Ag ,   Research Plan Instructions ,   Research Plan Form ,   Career Development for Instructions ,   Career Development ,   PHS 398 Research Training Program Plan
iEdison	1	iEdison
2590	1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 7	FP1 ,   FP1 Continued ,   FP2 ,   FP3 ,   FP5 ,   FP6 ,   NRSA2 ,   NRSA5 ,   Other Support ,   BIOGRAPHICAL SKETCH ,   BIOGRAPHICAL SKETCH Sample ,   Continuation ,   Enrollment ,   Enrollment Report ,   Trainee ,   fp7
568	1	568
3734	1	3734
2271	1	2271
PHS Fellowship Supplemental Form (electronic)	6A, 6B	PHS 398 Fellowship Supplemental Form ,   Fellowship Supplemental Form

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ICR Summary 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	94,326	160,135	0	-65,809	0	0
Annual Time Burden (Hours)	2,051,794	2,251,501	0	-199,707	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: Changing Regulations

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This submission represents program changes; previous estimated total burden hours for 0925-0001 was 2,251,500, current estimated total burden hours for 0925-0001 is 2,051,494. This represents a slight decrease of 6 hours since the last approval. This is attributed to the reconfiguration of 0925-0001 and 0925-0002 into pre- and post-award forms as detailed in Attachment 1.

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Annual Cost to Federal Government: $1,500,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 06/30/2012

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