Information Collection

Communications Fellowship (NCF) Program Application, (NCI)

IC 238538 under ICR 201905-0925-004 · OMB 0925-0761.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0761 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Communications Fellowship (NCF) Program Application, (NCI)	Form and Instruction
1 NCF Application Attachment 1 - NCF Application.pdf	Form and Instruction
2 NCF Feedback Survey Attachment 2 - NCF Feedback Survey.docx	Form and Instruction
3 NCF Reference Letter Attachment 3 - NCF Reference Letter.pdf	Form
Mini SSA - NCF 11.13.19.docx Mini SSA	IC Document
Attachment 4 - NCF Automated Emails.docx NCF Automated Emails	IC Document
Attachment 5 - NCF PIA FINAL.pdf PIA	IC Document
Attachment 6 - Privacy Act Memo.pdf Privacy Act memo	IC Document

IC Title:

Communications Fellowship (NCF) Program Application, (NCI)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NCF Application	Attachment 1 - NCF Application.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	NCF Feedback Survey	Attachment 2 - NCF Feedback Survey.docx	Yes	Yes	Fillable Fileable
Form	3	NCF Reference Letter	Attachment 3 - NCF Reference Letter.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0014, Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 480

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	246	246
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	Mini SSA - NCF 11.13.19.docx	11/13/2019
NCF Automated Emails	Attachment 4 - NCF Automated Emails.docx	11/13/2019
PIA	Attachment 5 - NCF PIA FINAL.pdf	11/13/2019
Privacy Act memo	Attachment 6 - Privacy Act Memo.pdf	11/13/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.