Information Collection

NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)

IC 238701 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⚠️ Notice: This information collection may be referencing outdated material.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 NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (NCI)	Form and Instruction
1 Applicant application screenshot Attachment 1 - Application Screenshots.pdf	Form and Instruction
2 Reference form screenshot Attachment 2 - Reference Form Screenshots Aug 2019.pdf	Form and Instruction
Mini SSA CCT FINAL (2).docx Mini SSA	IC Document
Attachment 3 - Emails to Applicant and Referee.pdf Emails to applicant and referee	IC Document
Attachment 4 - PIA.pdf PIA	IC Document
Attachment 5 - Privacy Act Memo.pdf Privacy Act Memo	IC Document

IC Title:

NCI's Center for Cancer Training (CCT) Application Form for Graduate Student Recruitment Program (GSRP) (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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Applicant application screenshot	Attachment 1 - Application Screenshots.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	Reference form screenshot	Attachment 2 - Reference Form Screenshots Aug 2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	Mini SSA CCT FINAL (2).docx	11/25/2019
Emails to applicant and referee	Attachment 3 - Emails to Applicant and Referee.pdf	11/25/2019
PIA	Attachment 4 - PIA.pdf	11/25/2019
Privacy Act Memo	Attachment 5 - Privacy Act Memo.pdf	11/25/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.