Center for Cancer Training (CCT) Application Form for lectronic Individual Development Plan (eIDP) (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Exit Survey Part 2 Feedback Survey	Form and Instruction	New	Available
Form 2 Exit Survey Part 1 Alumni Network Survey	Form and Instruction	New	Available
Form 1 Trainees	Form and Instruction	New	Available
pub 30day FRN2019-11460.pdf	Supplementary Document	Uploaded 2019-06-05	Available
Att 5 (eIDP) - Privacy Act Memo.pdf	Supplementary Document	Uploaded 2019-05-29	Available
Att 4-PIA Approved - NCI eIDP 252019.docx	Supplementary Document	Uploaded 2019-05-29	Available
Att 3-Email Notification (1).pdf	Supplementary Document	Uploaded 2019-05-29	Available
SSA-eIDP -revised 7.15.19 (003).docx	Supporting Statement A	Uploaded 2019-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236241	Exit Survey Part 2 Feedback Survey	Form and Instruction	New
236240	Exit Survey Part 1 Alumni Network Survey	Form and Instruction	New
236239	Trainees	Form and Instruction	New

ICR Details

OMB Control No: 0925-0762	ICR Reference No: 201905-0925-005
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Center for Cancer Training (CCT) Application Form for lectronic Individual Development Plan (eIDP) (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: 07/30/2019
	Date Received in OIRA: 06/05/2019
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time NIH 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	07/31/2022	36 Months From Approved
Responses	2,000	0	0
Time Burden (Hours)	1,209	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request is to approve the electronic Individual Development Plan (eIDP) for three years. The eIDP is an online, detailed questionnaire focused on responses to career and professional goals and expectations while the trainee works at the NCI. The eIDP ensures the NCI trainees are receiving proper career and professional guidance, making appropriate progress, and determining activities to achieve their goals.

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Authorizing Statute(s): US Code: 42 USC 285a-2(b)(3) 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 9537	03/15/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 25553	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: 3

table that charts list of burden

IC Title	Form No.	Form Name
Exit Survey Part 1 Alumni Network Survey	2	Exit Survey Part 1 Alumni
Exit Survey Part 2 Feedback Survey	3	Exit Survey Part 2 Feedback Survey
Trainees	1	Trainee screenshots

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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	2,000	0	0	2,000	0	0
Annual Time Burden (Hours)	1,209	0	0	1,209	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: No

Burden Reduction Due to:

Short Statement: This is a new submission

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Annual Cost to Federal Government: $130,569

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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