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Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)
Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)
OMB: 0925-0761
IC ID: 241989
OMB.report
HHS/NIH
OMB 0925-0761
ICR 202004-0925-001
IC 241989
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0761 can be found here:
2022-05-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)
Form and Instruction
1 Application CGH Postbac Fellowship
Attachment 1-Application CGH Postbac Fellowship (2).docx
Form and Instruction
Mini SSA CGH FINAL.docx
Mini SSA CGH
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Application CGH Postbac Fellowship
Attachment 1-Application CGH Postbac Fellowship (2).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
10
0
0
0
Annual IC Time Burden (Hours)
10
0
10
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA CGH
Mini SSA CGH FINAL.docx
05/27/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.