NIH Intramural Research Training Award, Program Application (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Summer Internship Program Biomedical Research (SIP)	Form and Instruction	Unchanged	Repair queued
Form 1 NIH-Amgen Supplemental Questions	Form and Instruction	New	Available
Form 12 GPP Interview Experience	Form and Instruction	Unchanged	Available
Form 11 Time to Complete Application Form	Form and Instruction	Unchanged	Available
Form 10 Survey Race-Ethnicity-Gender-Birth Year	Form and Instruction	Unchanged	Available
Form 16 Reference Recommendation Letters for All Programs	Form and Instruction	Unchanged	Available
Form 14 UGSP - Deferment Form (Completed by University Staff)	Form and Instruction	Unchanged	Available
Form 14 UGSP - Deferment Form (Completed by Applicant)	Form and Instruction	Unchanged	Available
Form 13 UGSP - Certificate of Eligibility (Completed by University Staff)	Form and Instruction	Unchanged	Available
Form 13 UGSP - Certificate of Eligibility (Completed by Applicant)	Form and Instruction	Unchanged	Available
Form 9 Alumni Database	Form and Instruction	Unchanged	Available
Form 8 Undergraduate Scholarship Program (UGSP)	Form and Instruction	Unchanged	Available
Form 7 National Graduate Student research Conference (NGSRC)	Form and Instruction	Unchanged	Repair queued
Form 6a Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships and Individual)	Form and Instruction	Unchanged	Available
Form 6a Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships)	Form and Instruction	Unchanged	Repair queued
Form 5 Technical Training Program (PBT)	Form and Instruction	Unchanged	Available
Form 4 Community College Summer Enrichment Program (CCSEP)	Form and Instruction	Unchanged	Available
Form 3 Post-baccalaureate Training Program (PBT)	Form and Instruction	Unchanged	Available
Form 2 Biomedical Engineering Summer Intership Program (BESIP)	Form and Instruction	Unchanged	Available
OITE-ChangesRequest-Amgen.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2014-11-17	Available
A15-PrivacyActApplicability.pdf	Supplementary Document	Uploaded 2013-07-17	Available
SSA-y2013-v10.doc	Supporting Statement A	Uploaded 2013-07-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43627	Summer Internship Program Biomedical Research (SIP)	Form and Instruction	Unchanged
213919	NIH-Amgen Supplemental Questions	Form and Instruction	New
207796	GPP Interview Experience	Form and Instruction	Unchanged
207795	Time to Complete Application Form	Form and Instruction	Unchanged
207794	Survey Race-Ethnicity-Gender-Birth Year	Form and Instruction	Unchanged
207793	Reference Recommendation Letters for All Programs	Form and Instruction	Unchanged
207792	UGSP - Deferment Form (Completed by University Staff)	Form and Instruction	Unchanged
207791	UGSP - Deferment Form (Completed by Applicant)	Form and Instruction	Unchanged
207790	UGSP - Certificate of Eligibility (Completed by University Staff)	Form and Instruction	Unchanged
207789	UGSP - Certificate of Eligibility (Completed by Applicant)	Form and Instruction	Unchanged
207788	Alumni Database	Form and Instruction	Unchanged
207787	Undergraduate Scholarship Program (UGSP)	Form and Instruction	Unchanged
207786	National Graduate Student research Conference (NGSRC)	Form and Instruction	Unchanged
207785	Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships and Individual)	Form and Instruction	Unchanged
207784	Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships)	Form and Instruction	Unchanged
207783	Technical Training Program (PBT)	Form and Instruction	Unchanged
207782	Community College Summer Enrichment Program (CCSEP)	Form and Instruction	Unchanged
207781	Post-baccalaureate Training Program (PBT)	Form and Instruction	Unchanged
200079	Biomedical Engineering Summer Intership Program (BESIP)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0925-0299	ICR Reference No: 201411-0925-003
Status: Historical Active	Previous ICR Reference No: 201307-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No: 19980
Title: NIH Intramural Research Training Award, Program Application (OD)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/20/2014
	Date Received in OIRA: 11/17/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	08/31/2016	08/31/2016
Responses	39,850	0	39,600
Time Burden (Hours)	18,376	0	18,355
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Intramural Training & Education (OITE) administers a variety of programs and initiatives to recruit pre-college through post-doctoral educational level individuals into the National Institutes of Health Intramural Research Program (NIH-IRP) to facilitate develop into future biomedical scientists. To identify qualified prospective students, the OITE has developed an application that contains the following target areas of assessment: personal information, eligibility criteria, contact information, student identification number, training program selection, scientific discipline interests, educational history, standardized examination scores, reference information, resume components, employment history, employment interests, dissertation research details, letters of recommendation, financial aid history, sensitive data, future networking contact, travel information, as well as feedback questions about interviews and application submission experiences. NIH investigators directly involved in the evaluation of prospective trainees will use information contained in the application.

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Authorizing Statute(s): US Code: 42 USC 282(b)(13) Name of Law: Public Health and Welfare
  

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 17935	03/25/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 42090	07/15/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 19

table that charts list of burden

IC Title	Form No.	Form Name
Time to Complete Application Form	11	Time to Complete
GPP Interview Experience	12	GPP Interview Experience
NIH-Amgen Supplemental Questions	1	NIH Amgen Supplemental Questions
UGSP - Certificate of Eligibility (Completed by Applicant)	13	Certification Form
UGSP - Certificate of Eligibility (Completed by University Staff)	13	Certificate Form
Summer Internship Program Biomedical Research (SIP)	1	SIP
Biomedical Engineering Summer Intership Program (BESIP)	2	BESIP
Post-baccalaureate Training Program (PBT)	3	PBTP
Community College Summer Enrichment Program (CCSEP)	4	CCSEP
Technical Training Program (PBT)	5	TTP
Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships)	6a, 6b, 6c	GPPa ,   GPPb ,   GPPc
Graduate Partnerships Program (GPP) - Application (Select Institutional Partnerships and Individual)	6a, 6b, 6c	GPPa ,   GPPb ,   GPPc
National Graduate Student research Conference (NGSRC)	7	NGSRC
Undergraduate Scholarship Program (UGSP)	8	UGSP
Alumni Database	9	Alumni Database
UGSP - Deferment Form (Completed by Applicant)	14	Deferment Form
UGSP - Deferment Form (Completed by University Staff)	14	Deferment Form
Reference Recommendation Letters for All Programs	16	Recommendation Letters
Survey Race-Ethnicity-Gender-Birth Year	10	Optional Information

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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	39,850	39,600	0	250	0	0
Annual Time Burden (Hours)	18,376	18,355	0	21	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: NIH partnered with the Amgen Foundation to bring select students to the NIH Intramural Research Program for a summer research experience. Students wishing to be considered for admission into the NIH Amgen program must meet the eligibility requirements as well as complete and submit the NIH Summer Internship Program (SIP) application. Although the SIP application contains many of the standard Amgen Foundation application questions, there are several questions that were not included in our current clearance.

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Annual Cost to Federal Government: $383,412

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: 11/17/2014

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