Division of Cancer Epidemiology and Genetics Summer Student Applications (NCI)

Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0761 can be found here:

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

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

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 Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.