Impact of Clinical Research Training and Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research

Forms and Documents

Document Name	Status
Form 3 Other Form and Instruction	New
Form 2 Students Form and Instruction	New
Form 1 Doctoral Level Form and Instruction	New
Form 1 Others (administrators, nurses etc.) Form and Instruction	Removed
Form 2 Students Form and Instruction	Removed
Form 1 Doctors Form and Instruction	Removed
Attachment 5 CRS-PrivacyImpactAssessment.PDF Supplementary Document	2016-08-26
Attachment 4 Details of Survey Modifications.pdf Supplementary Document	2016-08-26
SSA 0925-0602_revised-Final-8-26-16.docx Supporting Statement A	2016-08-26

IC Document Collections

IC ID	Document Title	Status
220823	Other Form and Instruction	New
220821	Students Form and Instruction	New
220820	Doctoral Level Form and Instruction	New
205807	Others (administrators, nurses etc.) Form and Instruction	Removed
205806	Students Form and Instruction	Removed
189079	Doctors Form and Instruction	Removed

ICR Details

OMB Control No: 0925-0602	ICR Reference No: 201603-0925-006
Status: Historical Active	Previous ICR Reference No: 201309-0925-006
Agency/Subagency: HHS/NIH	Agency Tracking No: 20558
Title: Impact of Clinical Research Training and Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/26/2016
	Date Received in OIRA: 03/31/2016
Terms of Clearance: The agency is required to display the OMB Control Number and inform respondents of its legal significance in accordance with 5 CFR 1320.5(b).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved	08/31/2016
Responses	960	0	785
Time Burden (Hours)	320	0	261
Cost Burden (Dollars)	0	0	0

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Abstract: The request for revision of the information collection involves the discontinuation of three existing surveys, the addition of 6 new surveys and a proposed content modification for one existing survey, in order to capture additional data for more meaningful and more effective program outcome evaluations. Accordingly, these additions and modifications will result in an increase in both the annual total number of survey respondents and the estimated annual total burden hours, respectively, for the existing information collection as described in section A.12 below. The information collected is also required to validate the effectiveness of graduate medical education training programs sponsored by the CC in accordance with requirements of external accrediting organizations, specifically the Accreditation Council for Graduate Medical Education located in Chicago, IL.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Service Standards
  

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:
	80 FR 77647	12/15/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9491	02/25/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Students	1, 2, 3, 4, 5, 6	PCP ,   IPPCR ,   MSRP CRTP ,   CEP ,   Ph.D Student Summer Course in Clinical and Translational Research ,   Summer Research Program
Students	2	Attachment 1 Physician and Student Surveys
Doctors	1, 2, 3, 4, 5	IPPCR ,   PCP ,   GME ,   REP ,   NIH Duke Training Program in Clinical Research
Others (administrators, nurses etc.)	1	Sabbatical in Clinical research Management
Doctoral Level	1	Attachment 2 Physician Surveys
Other	3	Attachment 3 Other Surveys

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ICR Summary 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	960	785	0	175	0	0
Annual Time Burden (Hours)	320	261	0	59	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision

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Annual Cost to Federal Government: $62,962

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: 03/31/2016

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