International Research Fellowship Award Program (NIDA)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Form-- Mentor Information and Agreement	Form and Instruction	New	Available
Form 1 Application	Form and Instruction	New	Available
Form 3 Mentor Agreement	Form and Instruction	Removed	Available
Form 2 Consent Form	Form and Instruction	Removed	Available
Form 1 Application for International Research and Fellowship Award Program	Form and Instruction	Removed	Available
30-day FRN 2019-02028.pdf	Supplementary Document	Uploaded 2019-02-12	Available
Attachment 4 PA Memo 01312019 - NIDA International Research Fellowship Award Program 2019.pdf	Supplementary Document	Uploaded 2019-02-11	Available
Supporting Statement A 02062019 NIDA HIV International Training Program.doc	Supporting Statement A	Uploaded 2019-02-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234902	Mentor Information and Agreement	Form and Instruction	New	Form-- Mentor Information and Agreement
234901	Application form	Form and Instruction	New	Application
218711	Application Part II – Mentor Information and Agreement Form	Form and Instruction	Removed	Mentor Agreement
218710	Consent Information	Form and Instruction	Removed	Consent Form
218709	Application for International Research and Fellowship Award Program	Form and Instruction	Removed	Application for International Research and Fellowship Award Program

ICR Details

OMB Control No: 0925-0733	ICR Reference No: 201902-0925-001
Status: Historical Active	Previous ICR Reference No: 201510-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: International Research Fellowship Award Program (NIDA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/21/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/13/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	03/31/2019
Responses	90	0	135
Time Burden (Hours)	60	0	83
Cost Burden (Dollars)	0	0	0

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Abstract: The 2015 approval covered an application form for a postdoctoral and professional development program initially developed in partnership with the International AIDS Society (IAS) focused singularly on HIV and drug use. That program attracted exceptionally qualified applicants, and the individuals who received the fellowships continue to make significant contributions to field of addiction research. The partnership with IAS did not permit NIH/NIDA to require that mentors be NIH/NIDA-supported grantees, however, and that requirement became increasingly important to NIH/NIDA to ensure that every application would address U.S. and, more specifically, NIH/NIDA research priorities.

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Authorizing Statute(s): US Code: 42 USC sections 241 and 282(b)(13) Name of Law: Public Health Service 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 64348	12/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 3472	02/12/2019
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
Application Part II – Mentor Information and Agreement Form	3	Mentor Agreement
Application for International Research and Fellowship Award Program	1	Application for International Research and Fellowship Award Program
Application form	1	Application
Consent Information	2	Consent Form
Mentor Information and Agreement	2	Form-- Mentor Information and Agreement

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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	90	135	0	-45	0	0
Annual Time Burden (Hours)	60	83	0	-23	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: This is a renewal information collection request, with changes due to programmatic adjustments to the fellowship training program, and due to including assurance language for the ethical conduct of research within the application form itself in order to discontinue the Applicant Consent form initially used for this purpose. The separate form is eliminated in this revised submission and has been replaced with applicant and mentor certification and assurance language incorporated directly in the application itself. This reduces the amount of paperwork required while ensuring that the applicants and mentors accept their responsibilities to follow the regulations.

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Annual Cost to Federal Government: $316,200

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: 02/13/2019

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