Attach4A_Gen IC Form_Sub-study #2_DCEG

GENERIC SUB-STUDY SUBMISSION – 0925-XXXX

DATE OF REQUEST: September 23, 2013

SUB AGENCY (I/C): NIH/NCI/Division of Cancer Epidemiology and Genetics

TITLE OF SUB-STUDY: Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications

GENERIC CLEARANCE UNDER OMB #0925-xxxx-02 EXP. DATE: xx/xx/20xx

TOTAL ANNUAL BURDEN APPROVED: X hours

BURDEN APPROVED TO DATE: 0 hours

BURDEN FOR THIS REQUEST: 525 hours

ABSTRACT:

The DCEG Office of Education (OE) administers a variety of programs and initiatives to recruit pre-college through post-doctoral educational level individuals into the Intramural Research Program to facilitate their development into future biomedical scientists. DCEG trains post-doctoral, doctoral candidates, graduate and baccalaureate students, through full time fellowships, summer fellowships, and internships. The proposed information collection involves the online applications completed by applicants to the full time fellowship, which includes the NIH Visiting Fellow, the Research and Clinical Fellowship, and the summer fellowship program. These applications are essential to the administration of these training programs as they enable OE to determine the eligibility and quality of potential awardees; to assess their potential as future scientists; to determine where mutual research interests exist; and to make decisions regarding which applicants will be proposed and approved for traineeship awards. In each case, completing the application is voluntary, but in order to receive due consideration, the prospective trainee must complete all required fields. The information is for internal use to make decisions about prospective fellows and students that could benefit from the DCEG program.

IS RACE AND ETHNICITY DATA COLLECTED? ______YES ____X_NO_______N/A	IS PERSONALLY IDENTIFIABLE INFORMATION (PII) BEING COLLECTED? __X____YES _____NO_______N/A
OBLIGATION TO RESPOND: ___X__ VOLUNTARY ______ REQUIRED TO OBTAIN OR RETAIN BENEFITS ______ MANDATORY	TYPE OF COLLECTION/RESEARCH? _____ CUSTOMER SATISFACTION _____ USABILITY TESTING _____FOCUS GROUPS _____PRETESTING _____FORMATIVE RESEARCH _____QUESTIONNAIRE DEVELOPMENT __X___APPLICATION _____PROGRAM MONITORING _____ OTHER: _________________________
HOW WILL THIS SURVEY BE OFFERED? ____X_ WEB SITE _____ TELEPHONE INTERVIEW _____ MAIL RESPONSE _____ IN PERSON INTERVIEW _____ OTHER: _________________________
CONTACT INFORMATION: NAME: Kristin Kiser TELEPHONE NUMBER: (240) 276-7234 EMAIL ADDRESS: kiserk@mail,nih.gov