Form 2 Reference letter

Introduction to Cancer Research Careers (ICRC) Application (NCI)

Att2-Reference Letter Module

Reference Letter

OMB: 0925-0763

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1111) NATIONAL CANCER INSTITUTE
Introduction to Cancer Research Careers (ICRC)
0MB No.: 0925-XXXX
Expiration Date: XX/XX/XXXX

Collection of this information is authorized by the Public Health Service Act. Section 411 (42 USC 285a). Rights of the program applicants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from the reference collection
process at any time. The information collected will be kept private to the extent provided by law. You are being contacted on line to complete this instrument so that we can process the reference letter expeditiously.
Public reporting burden for this collection of information is estimated to average 30 minutes per response for this application, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid 0MB control number. Send comments regarding this burden estimate or any other aspect of this collection information, including
suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive, SC 7974,Bethesda, MD20892-7974,ATTN: PRA (0925-XXXX). Do not return the completed form to this address.

Subject: Reference for Sandy Smith
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NCI maintains a database of professors, program directors, and other interested parties to whom we send our yearly "Call for ICRC A pplications". We do not share this list with anyone else.
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