Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 IOTF Application	Form and Instruction	New	Available
Form 2 Faculty References	Form and Instruction	New	Available
Form 1 Application	Form and Instruction	New	Available
Form 2 Reference form screenshot	Form and Instruction	New	Available
Form 1 Applicant application screenshot	Form and Instruction	New	Available
Form 3 NCF Reference Letter	Form	New	Available
Form 2 NCF Feedback Survey	Form and Instruction	New	Available
Form 1 NCF Application	Form and Instruction	New	Available
Form 5 Proof of Employment	Form and Instruction	New	Available
Form 4 Letter of Assurance	Form and Instruction	New	Available
Form 3 Reference Letter	Form and Instruction	New	Repair queued
Form 2 NCI Summer Curriculum Application	Form and Instruction	New	Available
Form 1 Fellowship Application	Form and Instruction	New	Available
pub 30day FRN2019-11461.pdf	Supplementary Document	Uploaded 2019-06-05	Available
Attach5-Privacy Act Memo.pdf	Supplementary Document	Uploaded 2019-05-23	Available
Attach4-Request for Reference Example.docx	Supplementary Document	Uploaded 2019-05-23	Available
Attach3-Application Example (2).docx	Supplementary Document	Uploaded 2019-05-23	Repair queued
Attach2-Currently Approved Applications 3.3.2019.pdf	Supplementary Document	Uploaded 2019-05-23	Available
Attach1-Mini SSA Request Template.docx	Supplementary Document	Uploaded 2019-05-23	Available
SSA_Generic Application-0925-NEW-5-22.19.docx	Supporting Statement A	Uploaded 2019-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240968	The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI)	Form and Instruction	New	IOTF Application
240129	Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	Form and Instruction	New	Faculty References
240129	Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	Form and Instruction	New	Application
238701	NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	Form and Instruction	New	Reference form screenshot
238701	NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	Form and Instruction	New	Applicant application screenshot
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form	New	NCF Reference Letter
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form and Instruction	New	NCF Feedback Survey
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form and Instruction	New	NCF Application
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	New	Proof of Employment
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	New	Letter of Assurance
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	New	Reference Letter
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	New	NCI Summer Curriculum Application
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	New	Fellowship Application

ICR Details

OMB Control No: 0925-0761	ICR Reference No: 201905-0925-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/09/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/05/2019
Terms of Clearance: NIH will submit individual collections under this generic clearance to OMB. These submissions will include the actual application instruments along with a completed request template

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	45,000	0	0
Time Burden (Hours)	72,000	0	0
Cost Burden (Dollars)	459,330	0	0

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Abstract: This is a new generic information collection request seeking approval for 3 years. The request “Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions” supports the science and research in a multidisciplinary environment at the National Cancer Institute (NCI), a part of the National Institutes of Health. Applicants may possess a variety of degrees including, but not limited to, high school, post-baccalaureate, graduate, postdoctoral, Registered Nurse, and Doctor of Medicine (MD). Potential applicants may apply for cancer-related positions by submitting applications, resumes, curriculum vitae (CV), reference letters, letters of intent and interest, and other related documentation directly to the Divisions, Offices, and Centers. This information is necessary to evaluate the eligibility, merits, and quality of potential candidates and will also assist in matching potential candidates to various training and internship programs, and specialty positions. The information is for internal use to make decisions about candidates invited to visit and attend NCI fellowships, internships, training opportunities, and apply for specialized staff and faculty positions.

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Authorizing Statute(s): US Code: 42 USC sect 285 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:
	84 FR 11987	03/29/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25550	06/03/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	2, 5, 1, 3, 4	Fellowship Application ,   NCI Summer Curriculum Application ,   Reference Letter ,   Letter of Assurance ,   Proof of Employment
Communications Fellowship (NCF) Program Application, (NCI)	3, 2, 1	NCF Application ,   NCF Feedback Survey ,   NCF Reference Letter
NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	2, 1	Applicant application screenshot ,   Reference form screenshot
Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	1, 2	Application ,   Faculty References
The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI)	1	IOTF 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	45,000	0	0	45,000	0	0
Annual Time Burden (Hours)	72,000	0	0	72,000	0	0
Annual Cost Burden (Dollars)	459,330	0	0	459,330	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: No

Burden Reduction Due to:

Short Statement: New submission

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Annual Cost to Federal Government: $61,664

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: 06/05/2019

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