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Sub-project #2 - Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications
Generic Clearance to Support Program and Administrative Operations At the National Cancer Institute (NCI)
OMB:
IC ID: 209643
OMB.report
NIH
ICR 201312-0925-005
IC 209643
( )
Documents and Forms
Document Name
Document Type
Form 4C
Sub-project #2 - Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications
Form and Instruction
4C DCEG Fellowship Application
Attach4C_ FellowApp_Sub-study#2_DCEG.pdf
Form and Instruction
4D DCEG Student Application
Attach4D_ StudentApp_Sub-study#2_DCEG.pdf
Form and Instruction
Attach4A_Gen IC Form_Sub-study #2_DCEG.doc
Attach4A_Gen IC Form_Sub-study #2_DCEG
IC Document
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13.doc
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sub-project #2 - Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
4C
DCEG Fellowship Application
Attach4C_ FellowApp_Sub-study#2_DCEG.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
4D
DCEG Student Application
Attach4D_ StudentApp_Sub-study#2_DCEG.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,350
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,350
0
0
0
0
0
Annual IC Time Burden (Hours)
525
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attach4A_Gen IC Form_Sub-study #2_DCEG
Attach4A_Gen IC Form_Sub-study #2_DCEG.doc
11/20/2013
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13
Attach4B_ miniSSA_Sub-study#2_DCEG_9_26_13.doc
11/20/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.