Information Collection Request

NIH Intramural Research Training Award, Program Application (OD)

ICR 201411-0925-003 · OMB 0925-0299 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Summer Internship Program Biomedical Research (SIP) Form and Instruction Unchanged Repair queued
Form 1 NIH-Amgen Supplemental Questions Form and Instruction New Repair queued
Form 12 GPP Interview Experience Form and Instruction Unchanged Repair queued
Form 11 Time to Complete Application Form Form and Instruction Unchanged Repair queued
Form 10 Survey Race-Ethnicity-Gender-Birth Year Form and Instruction Unchanged Repair queued
Form 16 Reference Recommendation Letters for All Programs Form and Instruction Unchanged Repair queued
Form 14 UGSP - Deferment Form (Completed by University Staff) Form and Instruction Unchanged Repair queued
Form 14 UGSP - Deferment Form (Completed by Applicant) Form and Instruction Unchanged Repair queued
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 Repair queued
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 Repair queued
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 Repair queued
Form 4 Community College Summer Enrichment Program (CCSEP) Form and Instruction Unchanged Repair queued
Form 3 Post-baccalaureate Training Program (PBT) Form and Instruction Unchanged Repair queued
Form 2 Biomedical Engineering Summer Intership Program (BESIP) Form and Instruction Unchanged Repair queued
OITE-ChangesRequest-Amgen.pdf Justification for No Material/Nonsubstantive Change Uploaded 2014-11-17 Repair queued
A15-PrivacyActApplicability.pdf Supplementary Document Uploaded 2013-07-17 Repair queued
SSA-y2013-v10.doc Supporting Statement A Uploaded 2013-07-17 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
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
0925-0299 201411-0925-003
Historical Active 201307-0925-002
HHS/NIH 19980
NIH Intramural Research Training Award, Program Application (OD)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/20/2014
Retrieve Notice of Action (NOA) 11/17/2014
  Inventory as of this Action Requested Previously Approved
08/31/2016 08/31/2016 08/31/2016
39,850 0 39,600
18,376 0 18,355
0 0 0

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.

US Code: 42 USC 282(b)(13) Name of Law: Public Health and Welfare
  
None

Not associated with rulemaking

  78 FR 17935 03/25/2013
78 FR 42090 07/15/2013
Yes

  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
Yes
Miscellaneous Actions
No
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.

$383,412
No
No
No
No
No
Uncollected
Saleda Perryman

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/17/2014