NIH Office of Intramural Training & Education Application (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 23 UGSP Deferment	Form and Instruction	New	Available
Form 35 Blog-Success Stories	Form and Instruction	New	Available
Form 34 MyOITE-Alumni	Form and Instruction	New	Available
Form 33 MyOITE account	Form and Instruction	New	Available
Form 32 GPP Student Award Certificate	Form and Instruction	New	Available
Form 31 GPP Registration	Form and Instruction	New	Available
Form 30 GPP Interview Experience	Form and Instruction	New	Available
Form 29 GPP Recommendation Letters	Form and Instruction	New	Available
Form 28 GPP Application	Form and Instruction	New	Available
Form 27 Academy Enrichment Application	Form and Instruction	New	Available
Form 26 Academy Fellows&Certificate Application	Form and Instruction	New	Available
Form 25 PBT Recommendation Letters	Form and Instruction	New	Available
Form 24 PBT Application	Form and Instruction	New	Available
Form 23 UGSP Deferment	Form and Instruction	New	Available
Form 22 UGSP Renewal Application Recommendation Letter	Form and Instruction	New	Available
Form 21 UGSP Renewal Application	Form and Instruction	New	Available
Form 20 UGSP Payback Feedback Mentor	Form and Instruction	New	Available
Form 19 UGSP Scholarship Contract	Form and Instruction	New	Available
Form 18 UGSP Certification	Form and Instruction	New	Available
Form 18 UGSP Certification	Form and Instruction	New	Available
Form 18 UGSP Certification	Form and Instruction	New	Available
Form 18 UGSP-Certification	Form and Instruction	New	Available
Form 17 UGSP-Application Recommendation Letter	Form and Instruction	New	Available
Form 16 UGSP-Application	Form and Instruction	New	Available
Form 15 NAVW-Feedback	Form and Instruction	New	Available
Form 14 NAVW-Recommendation Letters	Form and Instruction	New	Available
Form 13 NAVW Application	Form and Instruction	New	Available
Form 12 GDSSP Alumni Tracking	Form and Instruction	New	Available
Form 11 GSOAR-Alumni Tracking	Form and Instruction	New	Available
Form 10 CSOAR-Alumni Tracking	Form and Instruction	New	Available
Form 9 CCSEP Alumni Tracking	Form and Instruction	New	Available
Form 8 Amgen Alumni Tracking	Form and Instruction	New	Available
Form 7 Amgen-CurrentYear Feedback	Form and Instruction	New	Available
Form 6 Amgen-Supplemental Application	Form and Instruction	New	Available
Form 5 SIP-Recommendation Letters	Form	New	Available
Form 4 SIP - Application	Form and Instruction	New	Available
Form 3 HiSTEP&HiSTEP2-Alumni	Form and Instruction	New	Available
Form 2 HiSTEP2 - Orientation	Form and Instruction	New	Available
Form 1 HiSTEP - Orientation	Form and Instruction	New	Available
Form 17 Survey - Optional Statistics	Form and Instruction	Removed	Available
Form 16 Evaluation-Letter of Recommendations	Form and Instruction	Removed	Available
Form 15 GPP Interview Experience Survey	Form and Instruction	Removed	Available
Form 14 GPP Registration	Form and Instruction	Removed	Available
Form 13 GPP Application	Form and Instruction	Removed	Available
Form 12 PBT Academy Training Program	Form and Instruction	Removed	Available
Form 1 Form 11 PBT Application	Form	Removed	Available
Form 10 UGSP Evaluation Scholar Payback Period	Form and Instruction	Removed	Available
Form 9 UGSP Scholar Contract	Form and Instruction	Removed	Available
Form 8 UGSP Deferment Form	Form and Instruction	Removed	Available
Form 8 UGSP Deferment Form	Form and Instruction	Removed	Available
Form 7 UGSP Renewal Application	Form and Instruction	Removed	Available
Form 6 UGSP Certification Exceptional Financial Need	Form and Instruction	Removed	Available
Form 6 UGSP Certification Exceptional Financial Need	Form and Instruction	Removed	Available
Form 5 UGSP Application	Form and Instruction	Removed	Available
Form 4 NAVW-NIH Visit Week Application	Form and Instruction	Removed	Available
Form 3 HiSTEP-High School Scientific Training Enrichment Program - Contact Information	Form and Instruction	Removed	Available
Form 2 SIP- Amgen Scholars at NIH - Supplement Application	Form and Instruction	Removed	Available
Form 1 SIP Summer Internship Program	Form and Instruction	Removed	Available
30day FRN 2019-09517.pdf	Supplementary Document	Uploaded 2019-05-09	Available
38-OMB2019-PrivacyActApplicability.pdf	Supplementary Document	Uploaded 2019-05-06	Available
37-OMB2019-PrivacyImpactAssessment-ResearchAndTrainingPrograms.pdf	Supplementary Document	Uploaded 2019-05-06	Available
36-OMB2019-PrivacyImpactAssessment-ResearchAndTrainingOpportunities.pdf	Supplementary Document	Uploaded 2019-05-06	Available
OMB2019-SupportingStatement-Final-v03.docx	Supporting Statement A	Uploaded 2019-05-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235987	Undergraduate Scholarship Program - Deferment Form Completed by Scholar	Form and Instruction	New	UGSP Deferment
235985	OITE Careers Blog - Success Stories	Form and Instruction	New	Blog-Success Stories
235984	MyOITE - NIH Alumni	Form and Instruction	New	MyOITE-Alumni
235983	MYOITE - User Accounts	Form and Instruction	New	MyOITE account
235982	Graduate Partnerships Program - Awards Certificate	Form and Instruction	New	GPP Student Award Certificate
235981	Graduate Partnerships Program Registration	Form and Instruction	New	GPP Registration
235980	Graduate Partnerships Program - Interview Experience Survey	Form and Instruction	New	GPP Interview Experience
235979	Graduate Partnerships Program - Recommendation Letters for Application	Form and Instruction	New	GPP Recommendation Letters
235978	Graduate Partnerships Program Application	Form and Instruction	New	GPP Application
235977	NIH Academy - Enrichment Program Application	Form and Instruction	New	Academy Enrichment Application
235976	NIH Academy - Fellow & Certificate Programs Application	Form and Instruction	New	Academy Fellows&Certificate Application
235975	Postbaccalaureate Training Program - Recommendation Letters	Form and Instruction	New	PBT Recommendation Letters
235974	Postbaccalaureate Training Program Application	Form and Instruction	New	PBT Application
235973	Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	Form and Instruction	New	UGSP Deferment
235972	Undergraduate Scholarship Program - Recommendation Letters for Renewals	Form and Instruction	New	UGSP Renewal Application Recommendation Letter
235971	Undergraduate Scholarship Program - Renewal Application	Form and Instruction	New	UGSP Renewal Application
235970	Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	Form and Instruction	New	UGSP Payback Feedback Mentor
235969	Undergraduate Scholarship Program - Scholar Contract	Form and Instruction	New	UGSP Scholarship Contract
235968	Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	Form and Instruction	New	UGSP Certification
235967	Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	Form and Instruction	New	UGSP Certification
235727	Undergraduate Scholarship Program-Exceptional Financial Need Resubmission - Completed by Univ. Staff	Form and Instruction	New	UGSP Certification
235721	Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	Form and Instruction	New	UGSP-Certification
235720	Undergraduate Scholarship Program-Recommendation Letters for Applicant	Form and Instruction	New	UGSP-Application Recommendation Letter
235718	Undergraduate Scholarship Program - Application	Form and Instruction	New	UGSP-Application
235716	Native American Visit Week - Feedback	Form and Instruction	New	NAVW-Feedback
235715	Native American Visit Week - Recommendation Letters	Form and Instruction	New	NAVW-Recommendation Letters
235712	Native American Visit Week - Application	Form and Instruction	New	NAVW Application
235711	Graduate Data Science Summer Program - Alumni Tracking	Form and Instruction	New	GDSSP Alumni Tracking
235710	Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	New	GSOAR-Alumni Tracking
235709	College-Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	New	CSOAR-Alumni Tracking
235708	Community College Summer Enrichment Program - Alumni Tracking	Form and Instruction	New	CCSEP Alumni Tracking
235707	Amgen Scholars at NIH - Alumni Tracking	Form and Instruction	New	Amgen Alumni Tracking
235706	Amgen Scholars at NIH - Feedback	Form and Instruction	New	Amgen-CurrentYear Feedback
235705	Amgen Scholars at NIH - Supplemental Application	Form and Instruction	New	Amgen-Supplemental Application
235704	Summer Internship Program - Recommendation Letters	Form	New	SIP-Recommendation Letters
235703	Summer Internship Program - Application	Form and Instruction	New	SIP - Application
235702	HiSTEP &HiSTEP2 - Alumni Tracking	Form and Instruction	New	HiSTEP&HiSTEP2-Alumni
235701	High School Scientific Training & Enrichment Program 2.0 - Orientation	Form and Instruction	New	HiSTEP2 - Orientation
235700	High School Scientific Training & Enrichment Program - Orientation	Form and Instruction	New	HiSTEP - Orientation
221480	Survey - Optional Statistics (Majority of Programs; 25% Response Rate)	Form and Instruction	Removed	Survey - Optional Statistics
221479	Evaluation - Recommendation Letters for Prospective Students	Form and Instruction	Removed	Evaluation-Letter of Recommendations
221478	Graduate Partnerships Program Interview Experience Survey (60% Response Rate)	Form and Instruction	Removed	GPP Interview Experience Survey
221477	Graduate Partnerships Program Registration	Form and Instruction	Removed	GPP Registration
221476	Graduate Partnerships Program Application	Form and Instruction	Removed	GPP Application
221475	NIH Academy Training Program Supplemental Application	Form and Instruction	Removed	PBT Academy Training Program
221474	Postbaccalaureate/Technical Training Program Application	Form	Removed	Form 11 PBT Application
221473	Undergraduate Scholarship Program Evaluation of Scholar PayBack Period	Form and Instruction	Removed	UGSP Evaluation Scholar Payback Period
221472	Undergraduate Scholarship Program Scholar Contract	Form and Instruction	Removed	UGSP Scholar Contract
221471	Undergraduate Scholarship Program Deferment Form (Completed by University Staff))	Form and Instruction	Removed	UGSP Deferment Form
221470	Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar)	Form and Instruction	Removed	UGSP Deferment Form
221469	Undergraduate Scholarship Program (UGSP) Renewal Application	Form and Instruction	Removed	UGSP Renewal Application
221467	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t)	Form and Instruction	Removed	UGSP Certification Exceptional Financial Need
221465	Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant)	Form and Instruction	Removed	UGSP Certification Exceptional Financial Need
221464	Undergraduate Scholarship Program (UGSP) Application	Form and Instruction	Removed	UGSP Application
221463	NIH Visit Week - Application	Form and Instruction	Removed	NAVW-NIH Visit Week Application
221462	High School Scientifc Training & Enrichment Program - Contact Information	Form and Instruction	Removed	HiSTEP-High School Scientific Training Enrichment Program - Contact Information
221456	Amgen Scholars at NIH Program - Supplemental Application	Form and Instruction	Removed	SIP- Amgen Scholars at NIH - Supplement Application
221455	Summer Internship Program Application	Form and Instruction	Removed	SIP Summer Internship Program

ICR Details

OMB Control No: 0925-0299	ICR Reference No: 201904-0925-001
Status: Historical Active	Previous ICR Reference No: 201607-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No: 19980
Title: NIH Office of Intramural Training & Education Application (OD)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/28/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/10/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved	06/30/2019
Responses	43,979	0	36,691
Time Burden (Hours)	13,297	0	16,334
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Intramural Training & Education (OITE) administers a variety of programs and initiatives to recruit pre-college through post-doctoral educational level individuals into the National Institutes of Health Intramural Research Program (NIH-IRP) to facilitate their development into future biomedical scientists and to track the placement of former trainees after completion of their training program. Selection of participants in the NIH Intramural Research Program for a series of online collection forms for prospective, current, and alumni trainees. The collection forms are either open year-round or have specific time periods for collections. The OITE advertises the collection periods within the website https://www.training.nih.gov.

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Authorizing Statute(s): US Code: 42 USC Sect. 241 and 282(b)(13) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: US Code: 42 USC sections 241 and 282(b)(13) 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:
	83 FR 55374	11/05/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 20377	05/09/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 39

table that charts list of burden

IC Title	Form No.	Form Name
Amgen Scholars at NIH - Alumni Tracking	8	Amgen Alumni Tracking
Amgen Scholars at NIH - Feedback	7	Amgen-CurrentYear Feedback
Amgen Scholars at NIH - Supplemental Application	6	Amgen-Supplemental Application
Amgen Scholars at NIH Program - Supplemental Application	2	SIP- Amgen Scholars at NIH - Supplement Application
College-Summer Opportunities in Advanced Research - Alumni Tracking	10	CSOAR-Alumni Tracking
Community College Summer Enrichment Program - Alumni Tracking	9	CCSEP Alumni Tracking
Evaluation - Recommendation Letters for Prospective Students	16	Evaluation-Letter of Recommendations
Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	11	GSOAR-Alumni Tracking
Graduate Data Science Summer Program - Alumni Tracking	12	GDSSP Alumni Tracking
Graduate Partnerships Program - Awards Certificate	32	GPP Student Award Certificate
Graduate Partnerships Program - Interview Experience Survey	30	GPP Interview Experience
Graduate Partnerships Program - Recommendation Letters for Application	29	GPP Recommendation Letters
Graduate Partnerships Program Application	28	GPP Application
Graduate Partnerships Program Application	13	GPP Application
Graduate Partnerships Program Interview Experience Survey (60% Response Rate)	15	GPP Interview Experience Survey
Graduate Partnerships Program Registration	31	GPP Registration
Graduate Partnerships Program Registration	14	GPP Registration
HiSTEP &HiSTEP2 - Alumni Tracking	3	HiSTEP&HiSTEP2-Alumni
High School Scientifc Training & Enrichment Program - Contact Information	3	HiSTEP-High School Scientific Training Enrichment Program - Contact Information
High School Scientific Training & Enrichment Program - Orientation	1	HiSTEP - Orientation
High School Scientific Training & Enrichment Program 2.0 - Orientation	2	HiSTEP2 - Orientation
MYOITE - User Accounts	33	MyOITE account
MyOITE - NIH Alumni	34	MyOITE-Alumni
NIH Academy - Enrichment Program Application	27	Academy Enrichment Application
NIH Academy - Fellow & Certificate Programs Application	26	Academy Fellows&Certificate Application
NIH Academy Training Program Supplemental Application	12	PBT Academy Training Program
NIH Visit Week - Application	4	NAVW-NIH Visit Week Application
Native American Visit Week - Application	13	NAVW Application
Native American Visit Week - Feedback	15	NAVW-Feedback
Native American Visit Week - Recommendation Letters	14	NAVW-Recommendation Letters
OITE Careers Blog - Success Stories	35	Blog-Success Stories
Postbaccalaureate Training Program - Recommendation Letters	25	PBT Recommendation Letters
Postbaccalaureate Training Program Application	24	PBT Application
Postbaccalaureate/Technical Training Program Application	1	Form 11 PBT Application
Summer Internship Program - Application	4	SIP - Application
Summer Internship Program - Recommendation Letters	5	SIP-Recommendation Letters
Summer Internship Program Application	1	SIP Summer Internship Program
Survey - Optional Statistics (Majority of Programs; 25% Response Rate)	17	Survey - Optional Statistics
Undergraduate Scholarship Program (UGSP) Application	5	UGSP Application
Undergraduate Scholarship Program (UGSP) Renewal Application	7	UGSP Renewal Application
Undergraduate Scholarship Program - Application	16	UGSP-Application
Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	23	UGSP Deferment
Undergraduate Scholarship Program - Deferment Form Completed by Scholar	23	UGSP Deferment
Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	20	UGSP Payback Feedback Mentor
Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	18	UGSP Certification
Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	18	UGSP Certification
Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	18	UGSP-Certification
Undergraduate Scholarship Program - Recommendation Letters for Renewals	22	UGSP Renewal Application Recommendation Letter
Undergraduate Scholarship Program - Renewal Application	21	UGSP Renewal Application
Undergraduate Scholarship Program - Scholar Contract	19	UGSP Scholarship Contract
Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by Applicant)	6	UGSP Certification Exceptional Financial Need
Undergraduate Scholarship Program -Certificate of Exceptional Financial Need (Completed by University Staff)t)	6	UGSP Certification Exceptional Financial Need
Undergraduate Scholarship Program Deferment Form (Completed by UGSP Scholar)	8	UGSP Deferment Form
Undergraduate Scholarship Program Deferment Form (Completed by University Staff))	8	UGSP Deferment Form
Undergraduate Scholarship Program Evaluation of Scholar PayBack Period	10	UGSP Evaluation Scholar Payback Period
Undergraduate Scholarship Program Scholar Contract	9	UGSP Scholar Contract
Undergraduate Scholarship Program-Exceptional Financial Need Resubmission - Completed by Univ. Staff	18	UGSP Certification
Undergraduate Scholarship Program-Recommendation Letters for Applicant	17	UGSP-Application Recommendation Letter

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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	43,979	36,691	0	7,288	0	0
Annual Time Burden (Hours)	13,297	16,334	0	-3,037	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: Revision -The following items have yielded a reduction in the respondent burden: • The estimated time for completion for each collection form was based on the number of questions and configurations contained within the collection form: radio, drop-down, open-line, and open-area fields. Thereby giving each collection form its own burden time. • The low response rate to the collection form containing questions about race, ethnicity, gender, etc…rendered the information useless, therefore, the survey was retired. • The Summer Internship Program (SIP) was erroneously reported to collect three recommendation letters when only two are collected. The following modifications result in an increase in the respondent burden: • Inclusion of collection forms approved through 0925-0648 o Amgen Scholars at NIH - Feedback o Amgen Scholars at NIH - Alumni Tracking o Native American Visit Week - Feedback • Inclusion of collection forms approved through 0925-0740 o High School Scientific Training & Enrichment Program (HiSTEP) - Alumni Tracking o High School Scientific Training & Enrichment Program (HiSTEP) 2.0 - Alumni Tracking o Community College Summer Enrichment Program - Alumni Tracking o College Summer Opportunities to Advance Research (C-SOAR) - Alumni Tracking o Graduate Summer Opportunities to Advance Research (G-SOAR) - Alumni Tracking o Graduate Data Science Summer Program (GDSSP) - Alumni Tracking o Graduate Partnerships Program - Awards Certificate o MyOITE - User Accounts o MyOITE - NIH Alumni

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Annual Cost to Federal Government: $615,815

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: 05/10/2019

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