Grant Reviewer Recruitment Form

ICR 201311-0915-001

OMB: 0915-0295

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2013-11-06
Supporting Statement A
2013-11-06
IC Document Collections
IC ID
Document
Title
Status
6550 Modified
ICR Details
0915-0295 201311-0915-001
Historical Active 201103-0915-003
HHS/HSA 20871
Grant Reviewer Recruitment Form
Revision of a currently approved collection   No
Regular
Approved without change 12/24/2013
Retrieve Notice of Action (NOA) 11/08/2013
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved 08/31/2014
5,250 0 5,635
1,707 0 3,163
0 0 0

This web based grant reviewer form is used to recruit reviewers for HRSA grant and cooperative agreement programs. The form collects reviewer information that is used to select and assign grant reviewers to objective review committees.

US Code: 42 USC 799 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  78 FR 41407 07/10/2013
78 FR 65673 11/01/2013
No

1
IC Title Form No. Form Name
Grant Reviewer Recruitment Form 1 DIR Grant Reviewer Recruitment Form

  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 5,250 5,635 0 -385 0 0
Annual Time Burden (Hours) 1,707 3,163 0 -1,456 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Approval is requested for a decreased burden level. Original OMB approval for the Grant Reviewer Database form was for a total of 2,750 hours where the new reviewer file creation would take 0.75 hours, and the update 0.5 hours. This current request is for the Reviewer Recruitment Module (RRM) form for 1,707 total burden hours, where a new file creation is 0.33 hours and the file update is 0.16 hours. This is a decrease of 1,043 hours based on the unique simplicity and search power of the RRM system. The 2008 submission anticipated 3,700 reviewers registering in the new database, and we estimate the same number of active reviewers in the future. Now that existing reviewers must annually re-verify or re-register with fresh information, we anticipate a decrease in the estimated number of mid-year file updates (250).

$4,250
No
No
No
No
No
Uncollected
Jodi Duckhorn 301 443-1984

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/08/2013


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