Information Collection

Early Investigator Advancement Program (EIAP) Applications (NCI)

IC 250128 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⚠️ Notice: This information collection may be referencing outdated material.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 EIAP application Early Investigator Advancement Program (EIAP) Applications (NCI)	Form and Instruction
Form 2 reference request Early Investigator Advancement Program (EIAP) Applications (NCI)	Form and Instruction
1 EIAP application EIAP application.pdf	Form and Instruction
2 reference request Attachment 2 - EIAP Reference Request.pdf	Form and Instruction
Mini SSA EIAP Final (2).docx Mini SSA	IC Document
Attachment 3 - Privacy Act Memo (1).pdf Privacy Act Memo	IC Document

IC Title:

Early Investigator Advancement Program (EIAP) Applications (NCI)

Agency IC Tracking Number:

IC Status: New

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				Yes	Yes	Fillable Fileable
Form and Instruction	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: #09â25â0014, âClinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE

FR Citation: 67 FR 67042

Number of Respondents: 210

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	210	210
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA		11/04/2021
Privacy Act Memo		11/04/2021

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

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