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 CCT FFW screenshots	Form and Instruction	New	Repair queued
Form 1 Fellowship Opportunities applicaiton	Form and Instruction	New	Repair queued
Form 2 Faculty reference letters	Form and Instruction	New	Repair queued
Form 1 2022 SURO application	Form and Instruction	New	Repair queued
Form 6 iCURE Progress Report	Form	New	Repair queued
Form 5 eRA Commons ID Request	Form	New	Repair queued
Form 4 reference letters	Form and Instruction	New	Repair queued
Form 3 iCURE screenshot Postdoc application	Form and Instruction	New	Repair queued
Form 2 iCURE screenshot Graduate application	Form and Instruction	New	Repair queued
Form 1 iCURE screenshot Postbac application	Form and Instruction	New	Repair queued
Form 2 reference request	Form and Instruction	New	Repair queued
Form 1 EIAP application	Form and Instruction	New	Repair queued
Form 1 Screenshot SRK Application	Form	New	Repair queued
Form 1 DCDP Application	Form	New	Available
Form 1 Summer Program Application	Form	New	Available
Form 1 TSIF Application	Form and Instruction	New	Available
Form 1 Application CGH Postbac Fellowship	Form and Instruction	New	Available
Form 1 IOTF Application	Form and Instruction	Unchanged	Available
Form 2 Faculty References	Form and Instruction	Unchanged	Available
Form 1 Application	Form and Instruction	Unchanged	Available
Form 2 Reference form screenshot	Form and Instruction	Unchanged	Available
Form 1 Applicant application screenshot	Form and Instruction	Unchanged	Available
Form 3 NCF Reference Letter	Form	Unchanged	Available
Form 2 NCF Feedback Survey	Form and Instruction	Unchanged	Available
Form 1 NCF Application	Form and Instruction	Unchanged	Available
Form 5 Proof of Employment	Form and Instruction	Modified	Repair queued
Form 4 Letter of Assurance	Form and Instruction	Modified	Repair queued
Form 3 Reference Letter	Form and Instruction	Modified	Available
Form 2 NCI Summer Curriculum Application	Form and Instruction	Modified	Available
Form 1 Fellowship Application	Form and Instruction	Modified	Available
CPFP Screenshots with Proposed Revisions for OMB Approval_April-2020 (1).pdf	Supplementary Document	Uploaded 2020-04-09	Available
Change Request Memo_2020 CPFP Application Site_Race-Ethnicity Fields_April 9.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-04-09	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	Available
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
251332	National Cancer Institute (NCI) Future Fellows Resume Databank	Form and Instruction	New	CCT FFW screenshots
250853	Center for Global Health Post-baccalaureate/Post-doctoral Fellowship Program (NCI)	Form and Instruction	New	Fellowship Opportunities applicaiton
250280	Division of Cancer Biology Summer Undergraduate Research Program (DCB SURP) (NCI)	Form and Instruction	New	Faculty reference letters
250280	Division of Cancer Biology Summer Undergraduate Research Program (DCB SURP) (NCI)	Form and Instruction	New	2022 SURO application
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form	New	iCURE Progress Report
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form	New	eRA Commons ID Request
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form and Instruction	New	reference letters
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form and Instruction	New	iCURE screenshot Postdoc application
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form and Instruction	New	iCURE screenshot Graduate application
250279	Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	Form and Instruction	New	iCURE screenshot Postbac application
250128	Early Investigator Advancement Program (EIAP) Applications (NCI)	Form and Instruction	New	reference request
250128	Early Investigator Advancement Program (EIAP) Applications (NCI)	Form and Instruction	New	EIAP application
245506	Sallie Rosen Kaplan (SRK) Fellowship Application (NCI)	Form	New	Screenshot SRK Application
244075	Diversity Career Development Program (DCDP) (NCI)	Form	New	DCDP Application
244032	Division of Cancer Epidemiology and Genetics Summer Student Applications (NCI)	Form	New	Summer Program Application
243867	Translational Science Interagency Fellowship (TSIF) Application (NCATS)	Form and Instruction	New	TSIF Application
241989	Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)	Form and Instruction	New	Application CGH Postbac Fellowship
240968	The Interagency Oncology Task Force Fellowship (IOTF) Program (NCI)	Form and Instruction	Unchanged	IOTF Application
240129	Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	Form and Instruction	Unchanged	Faculty References
240129	Systems Biology and Physical Sciences Summer Undergraduate Research Program (CSBC/PS-ON SURP) (NCI)	Form and Instruction	Unchanged	Application
238701	NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	Form and Instruction	Unchanged	Reference form screenshot
238701	NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	Form and Instruction	Unchanged	Applicant application screenshot
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form	Unchanged	NCF Reference Letter
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form and Instruction	Unchanged	NCF Feedback Survey
238538	Communications Fellowship (NCF) Program Application, (NCI)	Form and Instruction	Unchanged	NCF Application
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	Modified	Proof of Employment
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	Modified	Letter of Assurance
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	Modified	Reference Letter
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	Modified	NCI Summer Curriculum Application
237479	Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	Form and Instruction	Modified	Fellowship Application

ICR Details

OMB Control No: 0925-0761	ICR Reference No: 202004-0925-001
Status: Historical Active	Previous ICR Reference No: 201905-0925-004
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/23/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/14/2020
Terms of Clearance: Previous terms continue: 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	07/31/2022	07/31/2022
Responses	45,000	0	45,000
Time Burden (Hours)	72,000	0	72,000
Cost Burden (Dollars)	459,330	0	459,330

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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: 15

table that charts list of burden

IC Title	Form No.	Form Name
Cancer Prevention Fellowship Program Fellowship Program and Summer Curriculum Applications (NCI)	4, 2, 5, 1, 3	Fellowship Application ,   NCI Summer Curriculum Application ,   Reference Letter ,   Letter of Assurance ,   Proof of Employment
Center for Global Health Post-baccalaureate/Post-doctoral Fellowship Program (NCI)	1	Fellowship Opportunities applicaiton
Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)	1	Application CGH Postbac Fellowship
Communications Fellowship (NCF) Program Application, (NCI)	3, 2, 1	NCF Application ,   NCF Feedback Survey ,   NCF Reference Letter
Diversity Career Development Program (DCDP) (NCI)	1	DCDP Application
Division of Cancer Biology Summer Undergraduate Research Program (DCB SURP) (NCI)	1, 2	2022 SURO application ,   Faculty reference letters
Division of Cancer Epidemiology and Genetics Summer Student Applications (NCI)	1	Summer Program Application
Early Investigator Advancement Program (EIAP) Applications (NCI)	1, 2	EIAP application ,   reference request
Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)	4, 1, 2, 3, 5, 6	iCURE screenshot Postbac application ,   iCURE screenshot Graduate application ,   iCURE screenshot Postdoc application ,   reference letters ,   eRA Commons ID Request ,   iCURE Progress Report
NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	2, 1	Applicant application screenshot ,   Reference form screenshot
National Cancer Institute (NCI) Future Fellows Resume Databank	1	CCT FFW screenshots
Sallie Rosen Kaplan (SRK) Fellowship Application (NCI)	1	Screenshot SRK Application
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
Translational Science Interagency Fellowship (TSIF) Application (NCATS)	1	TSIF 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	45,000	0	0	0	0
Annual Time Burden (Hours)	72,000	72,000	0	0	0	0
Annual Cost Burden (Dollars)	459,330	459,330	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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: 04/14/2020

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