Outcomes Evaluation of the National Cancer Institute (NCI) Cancer Prevention Fellowship Program (CPFP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Survey of F32 Awardees	Form and Instruction	New	Available
Form 2 SURVEY OF APPLICANTS	Form and Instruction	New	Available
Form 1 SURVEY OF ALUMNI	Form and Instruction	New	Available
SSB CPFP_12-11-13.doc	Supporting Statement B	Uploaded 2013-12-11	Available
CPFP Cover Memo-12-11-13.doc	Supplementary Document	Uploaded 2013-12-11	Available
Attach 10_Telephone Followup Scrip.7-10-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 9_Email Survey Reminder.6-26-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 8_Invitation Letter.7-10-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 7_Email Survey Notice.7-10-13.doc	Supplementary Document	Uploaded 2013-11-13	Available
Attach 6_IRB Approval Letters.pdf	Supplementary Document	Uploaded 2013-11-13	Available
Attach 5_Privacy Act Memo.pdf	Supplementary Document	Uploaded 2013-11-13	Available
Attach 4_Privacy Impact Assessment.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 3A.Survey of F32 Awardees (Screenshots).11-5-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 2A.Survey of Applicants (Screenshots).11-5-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
Attach 1A.Survey of Alumni (Screenshots).11-5-13.docx	Supplementary Document	Uploaded 2013-11-13	Available
SSA_CPFP_12-11-13.doc	Supporting Statement A	Uploaded 2013-12-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209808	Attachment 3 - Survey of F32 Awardees	Form and Instruction	New	Survey of F32 Awardees
209807	Attachment 2 - Survey of Applicants	Form and Instruction	New	SURVEY OF APPLICANTS
209806	Attachment 1 - Survey of Alumni	Form and Instruction	New	SURVEY OF ALUMNI

ICR Details

OMB Control No: 0925-0690	ICR Reference No: 201312-0925-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No: 20950
Title: Outcomes Evaluation of the National Cancer Institute (NCI) Cancer Prevention Fellowship Program (CPFP)
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: 01/27/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/20/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	12 Months From Approved
Responses	550	0	0
Time Burden (Hours)	197	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for OMB to approve the new submission titled, "Outcomes Evaluation of the National Cancer Institute Cancer Prevention Fellowship Program" for 1 year. The National Cancer Institute's (NCI) Cancer Prevention Fellowship Program (CPFP) mission is to train early career scientists from diverse disciplines to become outstanding independent researchers and leaders. This postdoctoral program conducted on-site at NCI has been in existence for over 25 years and has approximately 200 alumni. Despite its long existence, there has not been a comprehensive systematic, formal evaluation of career outcomes of CPFP trainees in the history of the program at NCI. The current study will focus on the implementation of a new survey instrument to capture career outcomes from CPFP alumni and two comparison groups, CPFP applicants and NCI F32 awardees. With the diversity of disciplines represented by CPFP alumni, the results of this evaluation will be of broad interest to the biomedical research training community.

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Authorizing Statute(s): None

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:
	78 FR 48879	08/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 76311	12/17/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Attachment 1 - Survey of Alumni	1	SURVEY OF ALUMNI
Attachment 2 - Survey of Applicants	2	SURVEY OF APPLICANTS
Attachment 3 - Survey of F32 Awardees	3	Survey of F32 Awardees

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ICR Summary of Burden

table that charts list 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	550	0	0	550	0	0
Annual Time Burden (Hours)	197	0	0	197	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 new information collection.

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Annual Cost to Federal Government: $192,881

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: 12/20/2013

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