NIH Office of Intramural Training & Education Application (OD)

Forms and Documents

Document Name	Status
Form 17 Survey - Optional Statistics (Majority of Programs; 25% Response Rate) Form and Instruction	Unchanged
Form 16 Evaluation - Recommendation Letters for Prospective Students Form and Instruction	Unchanged
Form 15 Graduate Partnerships Program Interview Experience Survey (60% Response Rate) Form and Instruction	Unchanged
Form 14 Graduate Partnerships Program Registration Form and Instruction	Unchanged
Form 13 Graduate Partnerships Program Application Form and Instruction	Unchanged
Form 12 NIH Academy Training Program Supplemental Application Form and Instruction	Unchanged
Form 1 Postbaccalaureate/Technical Training Program Application Form	Modified
Form 10 Undergraduate Scholarship Program Evaluation of Scholar PayBack Period Form and Instruction	Unchanged
Form 9 Undergraduate Scholarship Program Scholar Contract Form and Instruction	Unchanged
Form 8 Undergraduate Scholarship Program Deferment Form (Completed by University Staff)) Form and Instruction	Unchanged
Form 8 Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar) Form and Instruction	Unchanged
Form 7 Undergraduate Scholarship Program (UGSP) Renewal Application Form and Instruction	Unchanged
Form 6 Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t) Form and Instruction	Unchanged
Form 6 Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant) Form and Instruction	Unchanged
Form 5 Undergraduate Scholarship Program (UGSP) Application Form and Instruction	Unchanged
Form 4 NIH Visit Week - Application Form and Instruction	Unchanged
Form 3 High School Scientifc Training & Enrichment Program - Contact Information Form and Instruction	Unchanged
Form 2 Amgen Scholars at NIH Program - Supplemental Application Form and Instruction	Unchanged
Form 1 Summer Internship Program Application Form and Instruction	Unchanged
Form11-PBT-Application-ORIGINAL-Marked.pdf Supplementary Document	2016-07-07
OITE-ChangeRequest-PBT-V2.docx Justification for No Material/Nonsubstantive Change	2016-07-07
OITE 30 day FRN 2016-10994.pdf Supplementary Document	2016-05-11
Form19-PrivacyImpactAssessment.pdf Supplementary Document	2016-05-11
Form18-PrivacyActApplicability.pdf Supplementary Document	2016-05-11
OMB15-SupportingStatement-SemiFinal.pdf Supporting Statement A	2016-05-11

IC Document Collections

IC ID	Document Title	Status
221480	Survey - Optional Statistics (Majority of Programs; 25% Response Rate) Form and Instruction	Unchanged
221479	Evaluation - Recommendation Letters for Prospective Students Form and Instruction	Unchanged
221478	Graduate Partnerships Program Interview Experience Survey (60% Response Rate) Form and Instruction	Unchanged
221477	Graduate Partnerships Program Registration Form and Instruction	Unchanged
221476	Graduate Partnerships Program Application Form and Instruction	Unchanged
221475	NIH Academy Training Program Supplemental Application Form and Instruction	Unchanged
221474	Postbaccalaureate/Technical Training Program Application Form	Modified
221473	Undergraduate Scholarship Program Evaluation of Scholar PayBack Period Form and Instruction	Unchanged
221472	Undergraduate Scholarship Program Scholar Contract Form and Instruction	Unchanged
221471	Undergraduate Scholarship Program Deferment Form (Completed by University Staff)) Form and Instruction	Unchanged
221470	Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar) Form and Instruction	Unchanged
221469	Undergraduate Scholarship Program (UGSP) Renewal Application Form and Instruction	Unchanged
221467	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t) Form and Instruction	Unchanged
221465	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant) Form and Instruction	Unchanged
221464	Undergraduate Scholarship Program (UGSP) Application Form and Instruction	Unchanged
221463	NIH Visit Week - Application Form and Instruction	Unchanged
221462	High School Scientifc Training & Enrichment Program - Contact Information Form and Instruction	Unchanged
221456	Amgen Scholars at NIH Program - Supplemental Application Form and Instruction	Unchanged
221455	Summer Internship Program Application Form and Instruction	Unchanged

ICR Details

OMB Control No: 0925-0299	ICR Reference No: 201607-0925-001
Status: Historical Active	Previous ICR Reference No: 201605-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No: 19980
Title: NIH Office of Intramural Training & Education 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: 07/08/2016
	Date Received in OIRA: 07/07/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	06/30/2019	06/30/2019
Responses	36,691	0	36,691
Time Burden (Hours)	16,334	0	16,334
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 Sect. 241 and 282(b)(13) Name of Law: Public Health 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:
	80 FR 69685	11/10/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 28880	05/10/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Undergraduate Scholarship Program (UGSP) Renewal Application	7	UGSP Renewal Application
High School Scientifc Training & Enrichment Program - Contact Information	3	HiSTEP-High School Scientific Training Enrichment Program - Contact Information
Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar)	8	UGSP Deferment Form
Undergraduate Scholarship Program Deferment Form (Completed by University Staff))	8	UGSP Deferment Form
Undergraduate Scholarship Program Scholar Contract	9	UGSP Scholar Contract
Undergraduate Scholarship Program Evaluation of Scholar PayBack Period	10	UGSP Evaluation Scholar Payback Period
Postbaccalaureate/Technical Training Program Application	1	Form 11 PBT Application
Graduate Partnerships Program Application	13	GPP Application
Graduate Partnerships Program Registration	14	GPP Registration
Graduate Partnerships Program Interview Experience Survey (60% Response Rate)	15	GPP Interview Experience Survey
Evaluation - Recommendation Letters for Prospective Students	16	Evaluation-Letter of Recommendations
Survey - Optional Statistics (Majority of Programs; 25% Response Rate)	17	Survey - Optional Statistics
NIH Academy Training Program Supplemental Application	12	PBT Academy Training Program
Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant)	6	UGSP Certification Exceptional Financial Need
Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t)	6	UGSP Certification Exceptional Financial Need
Amgen Scholars at NIH Program - Supplemental Application	2	SIP- Amgen Scholars at NIH - Supplement Application
NIH Visit Week - Application	4	NAVW-NIH Visit Week Application
Undergraduate Scholarship Program (UGSP) Application	5	UGSP Application
Summer Internship Program Application	1	SIP Summer Internship Program

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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	36,691	36,691	0	0	0	0
Annual Time Burden (Hours)	16,334	16,334	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $419,964

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: 07/07/2016

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