Special Volunteer and Guest Researcher Assignment (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 590 Special Volunteers and Guest Researchers	Form and Instruction	Modified	Available
Form 1 Agreement Form	Form	New	Available
Guest Researchers - OMB SupportingStatement 0925-0177 July 2014.doc	Supporting Statement A	Uploaded 2014-07-21	Available
Attachment 2 Acknowledgement Letter.doc	Supplementary Document	Uploaded 2014-07-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7250	Special Volunteers and Guest Researchers	Form and Instruction	Modified
212394	Agreement Form	Form	New

ICR Details

OMB Control No: 0925-0177	ICR Reference No: 201407-0925-002
Status: Historical Active	Previous ICR Reference No: 201105-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Special Volunteer and Guest Researcher Assignment (OD)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/21/2014
	Date Received in OIRA: 07/24/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved	08/31/2014
Responses	3,320	0	1,660
Time Burden (Hours)	304	0	166
Cost Burden (Dollars)	0	0	0

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Abstract: Depending upon the Program, the information will be used by Scientific Directors/IC Directors or a delegated official at the Institute/Center level to determine that (1) the volunteer or guest researcher is qualified to do the proposed work; (2) the applicant has sufficient income to support himself/herself during the period of the assignment; (3) the Special Volunteer's proposed project or activity will provide a needed service to NIH; and (4) the Guest Researcher's proposed project will not interfere with ongoing Federal projects.

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Authorizing Statute(s): US Code: 42 USC 282(b)(10) Name of Law: Public Heath Service Act
  

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:
	79 FR 18300	04/01/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 41293	07/15/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Special Volunteers and Guest Researchers	590	Special Volunteer and Guest Researchers
Agreement Form	1, 2	Special Volunteer Agreement Form ,   Guest Researchers Agreement Form

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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	3,320	1,660	0	0	1,660	0
Annual Time Burden (Hours)	304	166	0	0	138	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 an extension of a currently approved information collection request to add 138 burden hours to account for the agreement form. The burden for the agreement form was inadvertently omitted in the burden table of the previous submission, but was submitted.

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Annual Cost to Federal Government: $35,752

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 07/24/2014

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