Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Summer Program Application	Form	New	Available
Form 2 Summer Program Application	Form and Instruction	Removed	Available
Form 1 Fellowship Program Application	Form	Modified	Available
30-day FRN2018-05920.pdf	Supplementary Document	Uploaded 2018-03-29	Available
SSA DCEG Application Final.docx	Supporting Statement A	Uploaded 2018-03-22	Available
A3 Privacy Act Memo.pdf	Supplementary Document	Uploaded 2015-02-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
230791	Summer Program Application	Form	New
215148	Summer Program Application	Form and Instruction	Removed
215147	Fellowship Program Application	Form	Modified

ICR Details

OMB Control No: 0925-0716	ICR Reference No: 201803-0925-001
Status: Active	Previous ICR Reference No: 201502-0925-004
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/01/2018
	Date Received in OIRA: 03/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	05/31/2018
Responses	450	0	450
Time Burden (Hours)	175	0	175
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for approval of an “Extension” for three years. The National Cancer Institute, Division of Cancer Epidemiology and Genetics (DCEG) Office of Education administers a variety of programs and initiatives to recruit pre-college through post-doctoral educational level individuals into the Intramural Research Program to facilitate their development into future biomedical scientists. DCEG trains post-doctoral, doctoral candidates, graduate and baccalaureate students, through full time fellowships, summer fellowships, and internships in preparation for research careers in cancer epidemiology and genetics. The proposed information collection involves brief online applications completed by applicants to the full time and the summer fellowship programs. Full-time fellowships include: Full-time Equivalents (FTE) and non-FTE fellowships for US citizens, permanent residents and international fellows. These applications are essential to the administration of these training programs as they enable OE to determine the eligibility and quality of potential awardees; to assess their potential as future scientists; to determine where mutual research interests exist; and to make decisions regarding which applicants will be proposed and approved for traineeship awards. The information is for internal use to make decisions about prospective fellows and students that could benefit from the DCEG program.

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Authorizing Statute(s): US Code: 42 USC 285a-2(b) (3) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: US Code: 42 USC 285a-2(b)(3) Name of Law: Public Health Service Act

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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:
	82 FR 60407	12/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12801	03/23/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Fellowship Program Application	1	Fellowship Program Application
Summer Program Application	2	Attachment 2 Summer Program App
Summer Program Application	2	Summer Program Application

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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	450	450	0	0	0	0
Annual Time Burden (Hours)	175	175	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: inadvertently removed one IC however this is an extension and no changes have taken place since previously approved

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Annual Cost to Federal Government: $17,373

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 03/30/2018

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