NIH Office of Intramural Training & Education Application (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 17 Survey - Optional Statistics	Form and Instruction	Unchanged	Repair queued
Form 16 Evaluation-Letter of Recommendations	Form and Instruction	Unchanged	Available
Form 15 GPP Interview Experience Survey	Form and Instruction	Unchanged	Available
Form 14 GPP Registration	Form and Instruction	Unchanged	Available
Form 13 GPP Application	Form and Instruction	Unchanged	Available
Form 12 PBT Academy Training Program	Form and Instruction	Unchanged	Available
Form 1 Form 11 PBT Application	Form	Modified	Available
Form 10 UGSP Evaluation Scholar Payback Period	Form and Instruction	Unchanged	Available
Form 9 UGSP Scholar Contract	Form and Instruction	Unchanged	Available
Form 8 UGSP Deferment Form	Form and Instruction	Unchanged	Available
Form 8 UGSP Deferment Form	Form and Instruction	Unchanged	Available
Form 7 UGSP Renewal Application	Form and Instruction	Unchanged	Available
Form 6 UGSP Certification Exceptional Financial Need	Form and Instruction	Unchanged	Available
Form 6 UGSP Certification Exceptional Financial Need	Form and Instruction	Unchanged	Repair queued
Form 5 UGSP Application	Form and Instruction	Unchanged	Available
Form 4 NAVW-NIH Visit Week Application	Form and Instruction	Unchanged	Available
Form 3 HiSTEP-High School Scientific Training Enrichment Program - Contact Information	Form and Instruction	Unchanged	Available
Form 2 SIP- Amgen Scholars at NIH - Supplement Application	Form and Instruction	Unchanged	Available
Form 1 SIP Summer Internship Program	Form and Instruction	Unchanged	Available
Form11-PBT-Application-ORIGINAL-Marked.pdf	Supplementary Document	Uploaded 2016-07-07	Available
OITE-ChangeRequest-PBT-V2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-07	Available
OITE 30 day FRN 2016-10994.pdf	Supplementary Document	Uploaded 2016-05-11	Repair queued
Form19-PrivacyImpactAssessment.pdf	Supplementary Document	Uploaded 2016-05-11	Available
Form18-PrivacyActApplicability.pdf	Supplementary Document	Uploaded 2016-05-11	Available
OMB15-SupportingStatement-SemiFinal.pdf	Supporting Statement A	Uploaded 2016-05-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221480	Survey - Optional Statistics (Majority of Programs; 25% Response Rate)	Form and Instruction	Unchanged	Survey - Optional Statistics
221479	Evaluation - Recommendation Letters for Prospective Students	Form and Instruction	Unchanged	Evaluation-Letter of Recommendations
221478	Graduate Partnerships Program Interview Experience Survey (60% Response Rate)	Form and Instruction	Unchanged	GPP Interview Experience Survey
221477	Graduate Partnerships Program Registration	Form and Instruction	Unchanged	GPP Registration
221476	Graduate Partnerships Program Application	Form and Instruction	Unchanged	GPP Application
221475	NIH Academy Training Program Supplemental Application	Form and Instruction	Unchanged	PBT Academy Training Program
221474	Postbaccalaureate/Technical Training Program Application	Form	Modified	Form 11 PBT Application
221473	Undergraduate Scholarship Program Evaluation of Scholar PayBack Period	Form and Instruction	Unchanged	UGSP Evaluation Scholar Payback Period
221472	Undergraduate Scholarship Program Scholar Contract	Form and Instruction	Unchanged	UGSP Scholar Contract
221471	Undergraduate Scholarship Program Deferment Form (Completed by University Staff))	Form and Instruction	Unchanged	UGSP Deferment Form
221470	Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar)	Form and Instruction	Unchanged	UGSP Deferment Form
221469	Undergraduate Scholarship Program (UGSP) Renewal Application	Form and Instruction	Unchanged	UGSP Renewal Application
221467	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t)	Form and Instruction	Unchanged	UGSP Certification Exceptional Financial Need
221465	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant)	Form and Instruction	Unchanged	UGSP Certification Exceptional Financial Need
221464	Undergraduate Scholarship Program (UGSP) Application	Form and Instruction	Unchanged	UGSP Application
221463	NIH Visit Week - Application	Form and Instruction	Unchanged	NAVW-NIH Visit Week Application
221462	High School Scientifc Training & Enrichment Program - Contact Information	Form and Instruction	Unchanged	HiSTEP-High School Scientific Training Enrichment Program - Contact Information
221456	Amgen Scholars at NIH Program - Supplemental Application	Form and Instruction	Unchanged	SIP- Amgen Scholars at NIH - Supplement Application
221455	Summer Internship Program Application	Form and Instruction	Unchanged	SIP Summer Internship Program

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
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/07/2016
Terms of Clearance:

table that charts list comparision

	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

table that charts list of burden

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

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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	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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