Special Volunteer and Guest Researcher Assignment (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 590-1 NIH guest Research Agreement	Form	Modified	Repair queued
Form 590-2 NIH Special Volunteer Agreement	Form	Modified	Repair queued
Form 590 Special Volunteer and Guest Research Assignment	Form and Instruction	Modified	Repair queued
pub 30day FRN 2021-02462.pdf	Supplementary Document	Uploaded 2021-02-08	Repair queued
SSA Attach 4 - Sample Letter Acknowledging Offer to Serve as an NIH Special Volunteer.pdf	Supplementary Document	Uploaded 2021-01-19	Repair queued
Final Support_StatementA_2020 for Extension of exp 2-28-2021.docx	Supporting Statement A	Uploaded 2021-01-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229194	NIH guest Research Agreement	Form	Modified
229153	NIH Special Volunteer Agreement	Form	Modified
229152	Special Volunteer and Guest Research Assignment	Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0177	ICR Reference No: 202101-0925-002
Status: Received in OIRA	Previous ICR Reference No: 201711-0925-005
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Special Volunteer and Guest Researcher Assignment (OD)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/08/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2021
Responses	6,900	5,740
Time Burden (Hours)	652	527
Cost Burden (Dollars)	0	0

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Abstract: The NIH needs to collect information on individuals who wish to volunteer their services (Special Volunteers) or wish to use NIH facilities for part of their research (Guest Researchers) to assess their eligibility and match to existing intramural NIH research programs.

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Authorizing Statute(s): US Code: 42 USC 282(b)(10) Name of Law: Public Heath Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 72672	11/13/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8370	02/05/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Special Volunteer and Guest Research Assignment	590	SV and GR Assignment form
NIH Special Volunteer Agreement	590-2	NIH Special Volunteer Agreement
NIH guest Research Agreement	590-1	NIH Guest Researcher Agreement

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,900	5,740	0	1,160	0	0
Annual Time Burden (Hours)	652	527	0	125	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is an Extension of a currently approved information collection request. There are no program changes or adjustments. The slight increase in burden is due to adjustments made in calculation which was inadvertently done wrong previously.

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Annual Cost to Federal Government: $38,555

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/08/2021

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