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Division of Cancer Epidemiology and Genetics Summer Student Applications (NCI)
Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)
OMB: 0925-0761
IC ID: 244032
OMB.report
HHS/NIH
OMB 0925-0761
ICR 202004-0925-001
IC 244032
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Division of Cancer Epidemiology and Genetics Summer Student Applications (NCI)
Form
1 Summer Program Application
A1 Summer Program Application.docx
Form
Mini SSA DCEG 2020 10.7.2020.docx
Mini SSA 2020 DCEG
IC Document
A3 Privacy Act Memo.pdf
Privacy Act Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Division of Cancer Epidemiology and Genetics Summer Student Applications (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
1
Summer Program Application
A1 Summer Program Application.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:
09–25–0014, “Clinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE
FR Citation:
67 FR 60742
Number of Respondents:
300
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
300
0
300
0
0
0
Annual IC Time Burden (Hours)
100
0
100
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mini SSA 2020 DCEG
Mini SSA DCEG 2020 10.7.2020.docx
10/13/2020
Privacy Act Memo
A3 Privacy Act Memo.pdf
10/13/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.