electronic Prior Approval Submission System (ePASS) (NHLBI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 ePass Database	Form and Instruction	Unchanged	Available
epass change request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-12-06	Available
Privacy act Applicability.doc	Supplementary Document	Uploaded 2015-04-01	Available
ePass Supporting Statement A.doc	Supporting Statement A	Uploaded 2015-04-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215922	ePass Database	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0925-0717	ICR Reference No: 201612-0925-001
Status: Historical Inactive	Previous ICR Reference No: 201504-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: electronic Prior Approval Submission System (ePASS) (NHLBI)
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/19/2016
	Date Received in OIRA: 12/06/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	05/31/2018	02/28/2018
Responses	940	0	940
Time Burden (Hours)	470	0	470
Cost Burden (Dollars)	0	0	0

---

Abstract: This project establishes a new electronic system that will allow grantees to submit certain requests through an on-line form. The grantee will initiate a request for a certain action as required by NIH policy: use of unobligated balances/carryover, change of PI, change of effort, Training Grant (NRSA) waivers, significant re-budgeting, additional no cost extensions, and change of scope. The template provided by ePASS along with links to the relevant NIH policies will ensure that all specific points are addressed and documented in the official grant file.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 69865	11/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 17761	04/02/2015
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
ePass Database	1	ePass Database

---

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: This is a new ICR.

---

Annual Cost to Federal Government: $80,000

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

---

Common Form ICR:  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:

(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: 12/06/2016

---