NIEHS DERT Extramural Grantee Data Collection

Forms and Documents

Document Name	Status
Form 1 2018-2021 NIEHS DERT Grantee Survey Form and Instruction	New
30 day FRN 2018-15802.pdf Supplementary Document	2018-07-30
Attachment C NIEHS DEGDC Table Shells.docx Supplementary Document	2018-07-30
Attachment B PIA for NIEHS DERT Extramural Granttee Data Collection DEGDC (Feb 2012).pdf Supplementary Document	2018-07-30
Attachment A 2018-2021 NIEHS DERT Grantee Survey.docx Supplementary Document	2018-07-30
Revised FINAL NIEHS DEGDC support_stmt_a 2018 (4).docx Supporting Statement A	2018-09-19
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
NIEHS DERT Change Request Memo Jan 2017.docx Justification for No Material/Nonsubstantive Change	2017-01-31

IC Document Collections

IC ID	Document Title	Status
233074	2018-2021 NIEHS DERT Grantee Survey Form and Instruction	New

ICR Details

OMB Control No: 0925-0657	ICR Reference No: 201807-0925-003
Status: Historical Inactive	Previous ICR Reference No: 201701-0925-005
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NIEHS DERT Extramural Grantee Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 11/09/2018
	Date Received in OIRA: 07/31/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved	11/30/2018
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 (NIEHS) is requesting a revision for the Extramural Grantee Data Collection Survey (OMB Clearance #0925-0657, exp 07/31/2018) for use by: • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); • National Institute on Deafness and Other Communication Disorders (NIDCD); • National Institute of Mental Health (NIMH); • National Institute of Neurological Disorders and Stroke (NINDS); • National Institute of Environmental Health Sciences (NIEHS); • National Cancer Institute (NCI); and • Environmental Protection Agency (EPA). This data collection effort is strictly to assess extramural community satisfaction with procedures and initiatives.

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Authorizing Statute(s): US Code: 42 USC 285 sect 463 Name of Law: Public Health Services 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:
	83 FR 19073	05/01/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 35017	07/24/2018
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
2018-2021 NIEHS DERT Grantee Survey	1	2018-2021 NIEHS DERT Grantee Survey

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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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revision - The only program changes or adjustment is a request to add nine new questions related to scientific goals and objectives, RFA Goals, and Program Support. submission is being converted to a Common form

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Annual Cost to Federal Government: $20,638

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: 07/31/2018

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