NIEHS DERT Extramural Grantee Data Collection

Forms and Documents

Document Name	Status
Form 1 NIEHS Grantee (Long Form) Form	New
Form 1 NCI Grantee Form	New
Form 1 NINDS Grantee Form	New
Form 1 NIMH Grantee Form	New
Form 1 NIDCD Grantee Form	New
Form 1 NICHD Grantee Form	New
Form 1 Attachment B NIEHS Simplified Data Collection Form 2017 Form	New
NIEHS DERT Change Request Memo Feb 2017.docx Justification for No Material/Nonsubstantive Change	2017-02-02
Attachment C NIEHS Connections between Simplified Form and Approved Form.docx Supplementary Document	2017-02-02
Attachment B NIEHS Simplified Data Collection Form 2017.docx Supplementary Document	2017-02-02
Attachment A 2015-2018 NIEHS DERT Grantee Survey.docx Supplementary Document	2017-02-02
NIEHS DERT Change Request Memo Jan 2017.docx Justification for No Material/Nonsubstantive Change	2017-01-31
NIEHS DEGDC support_stmt_a 2015 (4).docx Supporting Statement A	2015-06-09
Attachment 2 Table Shells.docx Supplementary Document	2015-06-09
Attachment 1 Survey ScreenShots.pdf Supplementary Document	2015-06-09
Attachment 1 DEGDC Survey February 2015.docx Supplementary Document	2015-06-09
NIEHS DEGDC support_stmt_b 2015.docx Supporting Statement B	2015-06-09

IC Document Collections

IC ID	Document Title	Status
225562	NIEHS Grantee (Long Form) Form	New
225561	NCI Grantee Form	New
225560	NINDS Grantee Form	New
225559	NIMH Grantee Form	New
225558	NIDCD Grantee Form	New
225556	NICHD Grantee Form	New
225552	Attachment B NIEHS Simplified Data Collection Form 2017 Form	New

ICR Details

OMB Control No: 0925-0657	ICR Reference No: 201701-0925-005
Status: Historical Active	Previous ICR Reference No: 201506-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NIEHS DERT Extramural Grantee Data Collection
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 with change	Conclusion Date: 02/03/2017
	Date Received in OIRA: 02/02/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018	07/31/2018
Responses	4,200	0	4,200
Time Burden (Hours)	2,100	0	2,100
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institute of Environmental Health Sciences, Division of Extramural Research and Training (DERT), is requesting a generic clearance to conduct assessment of selected science portfolios. A framework for examining research impact has been developed. DERT proposes to extend our ability to analyze our portfolios through primary data collection. The purpose of the proposed primary data collection is to obtain information from grantees regarding the impact of their funded research in the short-, intermediate- and long-term. This will be done through a survey of grantees that includes questions about the impact of funding on career development, the field of research, commercial product development, clinical practice, business and industry practices, and long-term human and environmental health, as well as satisfaction program support. Each researcher will receive an invitation to complete a 15-minute, close-ended, survey on the web. A paper option will be provided.

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

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 13562	03/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 31407	06/02/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
NIMH Grantee	1	2015-2018 NIEHS DERT Grantee Survey
NIEHS Grantee (Long Form)	1	2015-2018 NIEHS DERT Grantee Survey
Attachment B NIEHS Simplified Data Collection Form 2017	1	NIEHS Simplified Data Collection Form 2017
NICHD Grantee	1	2015-2018 NIEHS DERT Grantee Survey
NIDCD Grantee	1	2015-2018 NIEHS DERT Grantee Survey
NCI Grantee	1	2015-2018 NIEHS DERT Grantee Survey
NINDS Grantee	1	2015-2018 NIEHS DERT Grantee Survey

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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	4,200	4,200	0	0	0	0
Annual Time Burden (Hours)	2,100	2,100	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: This is a revision request for data collection. In June 2014 we received approval to allow other ICs to use the survey as well (NICHD, NIDCD, NIMH, NINDS, NIEHS, and NCI). NIEHS is leading the request to obtain a revision of this clearance for the ICs listed. We have proposed adding a few new response options to some of the questions based on our experience using the survey over the last 3 years. And we have added one new question related to product commercialization. These changes are highlighted in the attached survey (Attachment 1).

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Annual Cost to Federal Government: $70,060

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 02/02/2017

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