Communications Fellowship (NCF) Program Application, (NCI)

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Communications Fellowship (NCF) Program Application, (NCI)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.