Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program for the National Institute of General Medical Sciences (NIGMS)

ICR 201703-0925-001

OMB: 0925-0747

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2017-03-13
Justification for No Material/Nonsubstantive Change
2017-03-13
Supplementary Document
2016-06-22
Supporting Statement A
2016-11-04
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supplementary Document
2016-06-15
Supporting Statement B
2016-06-15
IC Document Collections
IC ID
Document
Title
Status
222057 Unchanged
222056 Unchanged
222055 Unchanged
222053 Unchanged
222010 Unchanged
222003 Unchanged
222000 Unchanged
221996 Unchanged
221993 Unchanged
221991 Unchanged
221990 Unchanged
221989 Unchanged
221988 Unchanged
221986 Unchanged
221981 Unchanged
221980 Unchanged
221979 Unchanged
221973 Unchanged
221972 Unchanged
221971 Unchanged
221970 Unchanged
221969 Unchanged
221968 Unchanged
221967 Unchanged
221966 Unchanged
221965 Unchanged
221964 Unchanged
221963 Unchanged
221962 Unchanged
221961 Unchanged
221960 Unchanged
221959 Unchanged
221958 Unchanged
221957 Modified
221956 Modified
221955 Modified
221954 Unchanged
221953 Unchanged
221951 Unchanged
ICR Details
0925-0747 201703-0925-001
Historical Active 201606-0925-006
HHS/NIH
Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program for the National Institute of General Medical Sciences (NIGMS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/14/2017
Retrieve Notice of Action (NOA) 03/14/2017
  Inventory as of this Action Requested Previously Approved
11/30/2019 11/30/2019 11/30/2019
90,723 0 90,723
61,950 0 61,950
0 0 0

This is a NEW OMB application request for a three year clearance to conduct an evaluation of the NIH Common Fund’s “Enhancing the Diversity of the NIH-funded Workforce Program.” This program is a national consortium, comprised of three integrated initiatives: 1) Building Infrastructure Leading to Diversity (BUILD) Initiative (RFA-RM-13-016; see Attachment 1), 2) National Research Mentoring Network (NRMN) (RFA-RM-13-017; see Attachment 2) and 3) Coordination and Evaluation Center (CEC) for Enhancing the Diversity of the NIH-Funded Workforce Program (RFA-RM-13-015; see Attachment 3).

US Code: 42 USC sect. 284n Name of Law: National Institutes of Health Reform Act of 2006
  
None

Not associated with rulemaking

  80 FR 58270 09/28/2015
81 FR 40712 06/22/2016
Yes

39
IC Title Form No. Form Name
BUILD Faculty Annual Follow-up survey 7 BUILD Student Annual Followup Survey
BUILD Mentee Mentor Assessment 8 Mentee Mentor Assessment
BUILD Implementation Reports 10 BUILD Implementation Reports
BUILD Case Studies Preparation 11 BUILD Site Visit and Case Studies protocol
NRMN Case Study Interviews Student mentees 19 NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Investigators 19 NRMN Site visit and Case Studies Protocol
BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers 2, 1 HERI Freshman Survey (On-line Version) ,   HERI Freshman Survey (Paper Version)
BUILD Faculty Survey (HERI Faculty Survey) 6 HERI Faculty Survey
BUILD Institutional Research & Program Data Requests 9 BUILD Institutional Records and Program Data Requests
BUILD Site Visits 11 BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews Undergraduate Students 11 BUILD Site Visit and Case Studies protocol
NRMN Mentee Annual Follow-up Surverys 2016 student Cohorts 12 NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 Faculty Cohorts 12 NRMN Student Mentee Core Followup Survey
BUILD Student - Follow-up survey at graduation (HERI College Senior Survey) 4 HERI College Senior Survey
BUILD Student Annual Follow-up Survey 2016 Cohort 5 BUILD Student Annual Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 student Cohorts 12 NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 student Cohorts 12 NRMN Student Mentee Core Followup Survey
BUILD Student - Follow up survey at the end of the first attendance year (HERI Your First College Year) 3 HERI Your First College Year
BUILD Student Annual Follow-up Survey 2015 Cohort 5 BUILD Student Annual Followup Survey
BUILD Student Annual Follow-up Survey 2017 Cohort 5 BUILD Student Annual Followup Survey
BUILD Case Study Interviews Graduate/post-doctoral Students 11 BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews PI's, Program Managers/Directors, & Faculty 11 BUILD Site Visit and Case Studies protocol
NRMN Case Study Interviews Mentors 19 NRMN Site visit and Case Studies Protocol
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort 14, 15, 16 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort 14, 15, 16 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Case Study Interviews Faculty mentees 19 NRMN Site visit and Case Studies Protocol
NRMN Mentee Annual Follow-up Surverys 2016 Faculty Cohorts 12 NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 Faculty Cohorts 12 NRMN Student Mentee Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2017 Cohort 13 NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2018 Cohort 13 NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2016 Cohort 13 NRMN Faculty Mentor Core Followup Survey
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort 14, 15, 16 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort 14, 15, 16 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort 14, 15, 16 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort 16, 14, 15 Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort 18, 16, 17 NRMN Mentor Skills ,   NRMN Institutional context Module ,   NRMN Coaching Training Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort 17, 18, 16 NRMN Mentor Skills ,   NRMN Coaching Training Module ,   NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort 18, 16, 17 NRMN Mentor Skills ,   NRMN Coaching Training Module ,   NRMN Institutional context Module
NRMN Site Visit 19 NRMN Site visit and Case Studies Protocol

  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 90,723 90,723 0 0 0 0
Annual Time Burden (Hours) 61,950 61,950 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$5,269
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tawanda Abdelmouti 240 276-5530 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/14/2017


© 2024 OMB.report | Privacy Policy