International Research Fellowship Award Program (NIDA)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Application Part II – Mentor Information and Agreement Form	Form and Instruction	New	Available
Form 2 Consent Information	Form and Instruction	New	Available
Form 1 Application for International Research and Fellowship Award Program	Form and Instruction	New	Available
Attachment 4- NIH Privacy Act Office Memo - International Research Fellowship Award Program -Final 05222015.doc	Supplementary Document	Uploaded 2015-10-23	Available
Supporting Statement -A- International Research Fellowship Award Program .doc	Supporting Statement A	Uploaded 2015-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218711	Application Part II – Mentor Information and Agreement Form	Form and Instruction	New
218710	Consent Information	Form and Instruction	New
218709	Application for International Research and Fellowship Award Program	Form and Instruction	New

ICR Details

OMB Control No: 0925-0733	ICR Reference No: 201510-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: International Research Fellowship Award Program (NIDA)
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: 02/22/2016
	Date Received in OIRA: 10/26/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved
Responses	135	0	0
Time Burden (Hours)	83	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institute on Drug Abuse (NIDA), has created a postdoctoral research fellowship to advance scientific understanding of the linkages between drug abuse and HIV while fostering multinational research. This program will provide rigorous postdoctoral research training with a mentor who is an expert in HIV-related drug abuse research at a leading research institution. The fellowship award requires full-time and continuous engagement for the duration of the award. The program is restricted to non-U.S. nationals and non-U.S. residents, and to candidates who have at least eight years post-doctoral research experience.

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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:
	79 FR 60895	10/08/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 61440	10/13/2015
Did the Agency receive public comments on this ICR? No

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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
Application for International Research and Fellowship Award Program	1	Application for International Research and Fellowship Award Program
Application Part II – Mentor Information and Agreement Form	3	Mentor Agreement
Consent Information	2	Consent 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	135	0	0	135	0	0
Annual Time Burden (Hours)	83	0	0	83	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 a new ICR.

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Annual Cost to Federal Government: $308,100

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: 10/26/2015

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