Information Collection

Communications Fellowship (NCF) Program Application, (NCI)

IC 238538 under ICR 202004-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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
	Requested	Previously Approved
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.