National Institute of Nursing Research (NINR) Summer Genetics Institute Alumni Survey

Forms and Documents

Document Name	Status
Form 1 Researchers Form and Instruction	New
Supporting Statement B NINR_SGI_v4.doc Supporting Statement B	2012-11-13
Attachment 7_SGI pilot survey analysis.docx Supplementary Document	2012-11-13
Attachment 6 IRB SGI alumni evaluation survey.docx Supplementary Document	2012-11-13
Attachment 5_Privacy Officer memo_SGI Survey.docx Supplementary Document	2012-11-13
Attachment 4_SGI Informed Consent.doc Supplementary Document	2012-11-13
Attachment 3_SGI participant emails.docx Supplementary Document	2012-11-13
Attachment 1_SGI-SurveyQuestions_v2.docx Supplementary Document	2012-11-13
Supporting Statement A-NINR-SGI_v4.docx Supporting Statement A	2012-11-13

IC Document Collections

IC ID	Document Title	Status
204858	Researchers Form and Instruction	New

ICR Details

OMB Control No: 0925-0666	ICR Reference No: 201211-0925-008
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Institute of Nursing Research (NINR) Summer Genetics Institute Alumni Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/20/2012
	Date Received in OIRA: 11/15/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved
Responses	150	0	0
Time Burden (Hours)	75	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institute of Nursing Research (NINR) Summer Genetics Institute (SGI) is a summer training program for nursing scientists. The SGI is designed to increase the genetics research capability among graduate students and faculty, and develop and expand the basis for clinical practice in genetics among clinicians.

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Authorizing Statute(s): US Code: 42 USC 285q Name of Law: National Institute of Nursing Research
  

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 38840	06/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 68134	11/15/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Researchers	1	Survey

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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	150	0	0	150	0	0
Annual Time Burden (Hours)	75	0	0	75	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: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $21,478

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/15/2012

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