NIH Office of Intramural Training & Education Application (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 37 AIP Recommendation Letter	Form and Instruction	New	Repair queued
Form 37 AIP - Recommendation Letters	Form and Instruction	New	Repair queued
Form 36 AIP application	Form and Instruction	New	Available
Form 36 Academic Internship Program (AIP) - Application	Form and Instruction	New	Repair queued
Form 23 UGSP Deferment	Form and Instruction	New	Available
Form 23 UGSP - Deferment Form - Completed by UGSP Scholar	Form and Instruction	New	Repair queued
Form 23 UGSP Deferment	Form and Instruction	Removed	Available
Form 23 Undergraduate Scholarship Program - Deferment Form Completed by Scholar	Form and Instruction	Removed	Repair queued
Form 35 Blog-Success Stories	Form and Instruction	Modified	Available
Form 35 OITE Careers Blog - Success Stories	Form and Instruction	Modified	Repair queued
Form 34 MyOITE-Alumni	Form and Instruction	Modified	Available
Form 34 MyOITE - NIH Alumni	Form and Instruction	Modified	Repair queued
Form 33 MyOITE account	Form and Instruction	Modified	Available
Form 33 MYOITE - User Accounts	Form and Instruction	Modified	Repair queued
Form 32 GPP Student Award Certificate	Form and Instruction	Modified	Available
Form 32 Graduate Partnerships Program - Awards Certificate	Form and Instruction	Modified	Repair queued
Form 31 GPP Registration	Form and Instruction	Modified	Available
Form 31 Graduate Partnerships Program Registration	Form and Instruction	Modified	Repair queued
Form 30 GPP Interview Experience	Form and Instruction	Modified	Available
Form 30 Graduate Partnerships Program - Interview Experience Survey	Form and Instruction	Modified	Repair queued
Form 29 GPP Recommendation Letters	Form and Instruction	Modified	Repair queued
Form 29 Graduate Partnerships Program - Recommendation Letters for Application	Form and Instruction	Modified	Repair queued
Form 28 GPP Application	Form and Instruction	Modified	Available
Form 28 Graduate Partnerships Program Application	Form and Instruction	Modified	Repair queued
Form 27 Academy Enrichment Application	Form and Instruction	Modified	Available
Form 27 NIH Academy - Enrichment Program Application	Form and Instruction	Modified	Repair queued
Form 26 Academy Fellows&Certificate Application	Form and Instruction	Modified	Repair queued
Form 26 NIH Academy - Fellow & Certificate Programs Application	Form and Instruction	Modified	Repair queued
Form 25 PBT Recommendation Letters	Form and Instruction	Modified	Available
Form 25 Postbaccalaureate Training Program - Recommendation Letters	Form and Instruction	Modified	Repair queued
Form 24 PBT Application	Form and Instruction	Modified	Available
Form 24 Postbaccalaureate Training Program Application	Form and Instruction	Modified	Repair queued
Form 23 UGSP Deferment	Form and Instruction	Modified	Repair queued
Form 23 Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	Form and Instruction	Modified	Repair queued
Form 22 UGSP Renewal Application Recommendation Letter	Form and Instruction	Modified	Repair queued
Form 22 Undergraduate Scholarship Program - Recommendation Letters for Renewals	Form and Instruction	Modified	Repair queued
Form 21 UGSP Renewal Application	Form and Instruction	Modified	Available
Form 21 Undergraduate Scholarship Program - Renewal Application	Form and Instruction	Modified	Repair queued
Form 20 UGSP Payback Feedback Mentor	Form and Instruction	Modified	Available
Form 20 Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	Form and Instruction	Modified	Repair queued
Form 19 UGSP Scholarship Contract	Form and Instruction	Modified	Available
Form 19 Undergraduate Scholarship Program - Scholar Contract	Form and Instruction	Modified	Repair queued
Form 18 UGSP Certification	Form and Instruction	Removed	Available
Form 18 Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	Form and Instruction	Removed	Available
Form 18 UGSP Certification	Form and Instruction	Removed	Repair queued
Form 18 Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	Form and Instruction	Removed	Repair queued
Form 18 UGSP Certification	Form and Instruction	Modified	Available
Form 18 Undergraduate Scholarship Program-Exceptional Financial Need - Completed by Univ. Staff	Form and Instruction	Modified	Repair queued
Form 18 UGSP-Certification	Form and Instruction	Modified	Repair queued
Form 18 Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	Form and Instruction	Modified	Repair queued
Form 17 UGSP-Application Recommendation Letter	Form and Instruction	Modified	Available
Form 17 Undergraduate Scholarship Program-Recommendation Letters for Applicant	Form and Instruction	Modified	Repair queued
Form 16 UGSP-Application	Form and Instruction	Modified	Available
Form 16 Undergraduate Scholarship Program - Application	Form and Instruction	Modified	Repair queued
Form 15 NAVW-Feedback	Form and Instruction	Modified	Available
Form 15 Native American Visit Week - Feedback	Form and Instruction	Modified	Repair queued
Form 14 NAVW-Recommendation Letters	Form and Instruction	Modified	Available
Form 14 Native American Visit Week - Recommendation Letters	Form and Instruction	Modified	Repair queued
Form 13 NAVW Application	Form and Instruction	Modified	Available
Form 13 Native American Visit Week - Application	Form and Instruction	Modified	Available
Form 12 GDSSP Alumni Tracking	Form and Instruction	Modified	Available
Form 12 Graduate Data Science Summer Program - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 11 GSOAR-Alumni Tracking	Form and Instruction	Modified	Available
Form 11 Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 10 CSOAR-Alumni Tracking	Form and Instruction	Modified	Available
Form 10 College-Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 9 CCSEP Alumni Tracking	Form and Instruction	Modified	Available
Form 9 Community College Summer Enrichment Program - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 8 Amgen Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 8 Amgen Scholars at NIH - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 7 Amgen-CurrentYear Feedback	Form and Instruction	Modified	Available
Form 7 Amgen Scholars at NIH - Feedback	Form and Instruction	Modified	Repair queued
Form 6 Amgen-Supplemental Application	Form and Instruction	Modified	Available
Form 6 Amgen Scholars at NIH - Supplemental Application	Form and Instruction	Modified	Repair queued
Form 5 SIP-Recommendation Letters	Form	Modified	Available
Form 5 Summer Internship Program - Recommendation Letters	Form	Modified	Repair queued
Form 4 SIP - Application	Form and Instruction	Modified	Available
Form 4 Summer Internship Program - Application	Form and Instruction	Modified	Repair queued
Form 3 HiSTEP&HiSTEP2-Alumni	Form and Instruction	Modified	Repair queued
Form 3 HiSTEP &HiSTEP2 - Alumni Tracking	Form and Instruction	Modified	Repair queued
Form 2 HiSTEP2 - Orientation	Form and Instruction	Modified	Available
Form 2 High School Scientific Training & Enrichment Program 2.0 - Orientation	Form and Instruction	Modified	Repair queued
Form 1 HiSTEP - Orientation	Form and Instruction	Modified	Repair queued
Form 1 High School Scientific Training & Enrichment Program - Orientation	Form and Instruction	Modified	Repair queued
pub 30day FRN 2021-02461.pdf	Supplementary Document	Uploaded 2021-02-08	Repair queued
B39-PrivacyAct-Memo.pdf	Supplementary Document	Uploaded 2021-02-08	Repair queued
B38 PIA-RTO-&-RTP.pdf	Supplementary Document	Uploaded 2021-02-08	Repair queued
OMB2021-SupportingStatement-v07 (002).docx	Supporting Statement A	Uploaded 2021-02-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245695	AIP - Recommendation Letters	Form and Instruction	New	AIP Recommendation Letter
245695	AIP - Recommendation Letters	Form and Instruction	New
245694	Academic Internship Program (AIP) - Application	Form and Instruction	New	AIP application
245694	Academic Internship Program (AIP) - Application	Form and Instruction	New
245692	UGSP - Deferment Form - Completed by UGSP Scholar	Form and Instruction	New	UGSP Deferment
245692	UGSP - Deferment Form - Completed by UGSP Scholar	Form and Instruction	New
235987	Undergraduate Scholarship Program - Deferment Form Completed by Scholar	Form and Instruction	Removed	UGSP Deferment
235987	Undergraduate Scholarship Program - Deferment Form Completed by Scholar	Form and Instruction	Removed
235985	OITE Careers Blog - Success Stories	Form and Instruction	Modified	Blog-Success Stories
235985	OITE Careers Blog - Success Stories	Form and Instruction	Modified
235984	MyOITE - NIH Alumni	Form and Instruction	Modified	MyOITE-Alumni
235984	MyOITE - NIH Alumni	Form and Instruction	Modified
235983	MYOITE - User Accounts	Form and Instruction	Modified	MyOITE account
235983	MYOITE - User Accounts	Form and Instruction	Modified
235982	Graduate Partnerships Program - Awards Certificate	Form and Instruction	Modified	GPP Student Award Certificate
235982	Graduate Partnerships Program - Awards Certificate	Form and Instruction	Modified
235981	Graduate Partnerships Program Registration	Form and Instruction	Modified	GPP Registration
235981	Graduate Partnerships Program Registration	Form and Instruction	Modified
235980	Graduate Partnerships Program - Interview Experience Survey	Form and Instruction	Modified	GPP Interview Experience
235980	Graduate Partnerships Program - Interview Experience Survey	Form and Instruction	Modified
235979	Graduate Partnerships Program - Recommendation Letters for Application	Form and Instruction	Modified	GPP Recommendation Letters
235979	Graduate Partnerships Program - Recommendation Letters for Application	Form and Instruction	Modified
235978	Graduate Partnerships Program Application	Form and Instruction	Modified	GPP Application
235978	Graduate Partnerships Program Application	Form and Instruction	Modified
235977	NIH Academy - Enrichment Program Application	Form and Instruction	Modified	Academy Enrichment Application
235977	NIH Academy - Enrichment Program Application	Form and Instruction	Modified
235976	NIH Academy - Fellow & Certificate Programs Application	Form and Instruction	Modified	Academy Fellows&Certificate Application
235976	NIH Academy - Fellow & Certificate Programs Application	Form and Instruction	Modified
235975	Postbaccalaureate Training Program - Recommendation Letters	Form and Instruction	Modified	PBT Recommendation Letters
235975	Postbaccalaureate Training Program - Recommendation Letters	Form and Instruction	Modified
235974	Postbaccalaureate Training Program Application	Form and Instruction	Modified	PBT Application
235974	Postbaccalaureate Training Program Application	Form and Instruction	Modified
235973	Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	Form and Instruction	Modified	UGSP Deferment
235973	Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	Form and Instruction	Modified
235972	Undergraduate Scholarship Program - Recommendation Letters for Renewals	Form and Instruction	Modified	UGSP Renewal Application Recommendation Letter
235972	Undergraduate Scholarship Program - Recommendation Letters for Renewals	Form and Instruction	Modified
235971	Undergraduate Scholarship Program - Renewal Application	Form and Instruction	Modified	UGSP Renewal Application
235971	Undergraduate Scholarship Program - Renewal Application	Form and Instruction	Modified
235970	Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	Form and Instruction	Modified	UGSP Payback Feedback Mentor
235970	Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	Form and Instruction	Modified
235969	Undergraduate Scholarship Program - Scholar Contract	Form and Instruction	Modified	UGSP Scholarship Contract
235969	Undergraduate Scholarship Program - Scholar Contract	Form and Instruction	Modified
235968	Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	Form and Instruction	Removed	UGSP Certification
235968	Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	Form and Instruction	Removed
235967	Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	Form and Instruction	Removed	UGSP Certification
235967	Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	Form and Instruction	Removed
235727	Undergraduate Scholarship Program-Exceptional Financial Need - Completed by Univ. Staff	Form and Instruction	Modified	UGSP Certification
235727	Undergraduate Scholarship Program-Exceptional Financial Need - Completed by Univ. Staff	Form and Instruction	Modified
235721	Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	Form and Instruction	Modified	UGSP-Certification
235721	Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	Form and Instruction	Modified
235720	Undergraduate Scholarship Program-Recommendation Letters for Applicant	Form and Instruction	Modified	UGSP-Application Recommendation Letter
235720	Undergraduate Scholarship Program-Recommendation Letters for Applicant	Form and Instruction	Modified
235718	Undergraduate Scholarship Program - Application	Form and Instruction	Modified	UGSP-Application
235718	Undergraduate Scholarship Program - Application	Form and Instruction	Modified
235716	Native American Visit Week - Feedback	Form and Instruction	Modified	NAVW-Feedback
235716	Native American Visit Week - Feedback	Form and Instruction	Modified
235715	Native American Visit Week - Recommendation Letters	Form and Instruction	Modified	NAVW-Recommendation Letters
235715	Native American Visit Week - Recommendation Letters	Form and Instruction	Modified
235712	Native American Visit Week - Application	Form and Instruction	Modified	NAVW Application
235712	Native American Visit Week - Application	Form and Instruction	Modified
235711	Graduate Data Science Summer Program - Alumni Tracking	Form and Instruction	Modified	GDSSP Alumni Tracking
235711	Graduate Data Science Summer Program - Alumni Tracking	Form and Instruction	Modified
235710	Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified	GSOAR-Alumni Tracking
235710	Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified
235709	College-Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified	CSOAR-Alumni Tracking
235709	College-Summer Opportunities in Advanced Research - Alumni Tracking	Form and Instruction	Modified
235708	Community College Summer Enrichment Program - Alumni Tracking	Form and Instruction	Modified	CCSEP Alumni Tracking
235708	Community College Summer Enrichment Program - Alumni Tracking	Form and Instruction	Modified
235707	Amgen Scholars at NIH - Alumni Tracking	Form and Instruction	Modified	Amgen Alumni Tracking
235707	Amgen Scholars at NIH - Alumni Tracking	Form and Instruction	Modified
235706	Amgen Scholars at NIH - Feedback	Form and Instruction	Modified	Amgen-CurrentYear Feedback
235706	Amgen Scholars at NIH - Feedback	Form and Instruction	Modified
235705	Amgen Scholars at NIH - Supplemental Application	Form and Instruction	Modified	Amgen-Supplemental Application
235705	Amgen Scholars at NIH - Supplemental Application	Form and Instruction	Modified
235704	Summer Internship Program - Recommendation Letters	Form	Modified	SIP-Recommendation Letters
235704	Summer Internship Program - Recommendation Letters	Form	Modified
235703	Summer Internship Program - Application	Form and Instruction	Modified	SIP - Application
235703	Summer Internship Program - Application	Form and Instruction	Modified
235702	HiSTEP &HiSTEP2 - Alumni Tracking	Form and Instruction	Modified	HiSTEP&HiSTEP2-Alumni
235702	HiSTEP &HiSTEP2 - Alumni Tracking	Form and Instruction	Modified
235701	High School Scientific Training & Enrichment Program 2.0 - Orientation	Form and Instruction	Modified	HiSTEP2 - Orientation
235701	High School Scientific Training & Enrichment Program 2.0 - Orientation	Form and Instruction	Modified
235700	High School Scientific Training & Enrichment Program - Orientation	Form and Instruction	Modified	HiSTEP - Orientation
235700	High School Scientific Training & Enrichment Program - Orientation	Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0299	ICR Reference No: 202102-0925-001
Status: Historical Active	Previous ICR Reference No: 201904-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No: 19980
Title: NIH Office of Intramural Training & Education Application (OD)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/09/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	06/30/2022
Responses	45,559	0	43,979
Time Burden (Hours)	13,858	0	13,297
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Intramural Training & Education (OITE) administers a variety of programs and initiatives to recruit pre-college through post-doctoral educational level individuals into the National Institutes of Health Intramural Research Program (NIH-IRP) to facilitate their development into future biomedical scientists and to track the placement of former trainees after completion of their training program. Selection of participants in the NIH Intramural Research Program for a series of online collection forms for prospective, current, and alumni trainees. The collection forms are either open year-round or have specific time periods for collections. The OITE advertises the collection periods within the website https://www.training.nih.gov.

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Authorizing Statute(s): US Code: 42 USC Sect. 241 and 282(b)(13) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: US Code: 42 USC sections 241 and 282(b)(13) Name of Law: Public Health Service Act

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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 69337	11/02/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8366	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: 39

table that charts list of burden

IC Title	Form No.	Form Name
AIP - Recommendation Letters	37	AIP Recommendation Letter
Academic Internship Program (AIP) - Application	36	AIP application
Amgen Scholars at NIH - Alumni Tracking	8	Amgen Alumni Tracking
Amgen Scholars at NIH - Feedback	7	Amgen-CurrentYear Feedback
Amgen Scholars at NIH - Supplemental Application	6	Amgen-Supplemental Application
College-Summer Opportunities in Advanced Research - Alumni Tracking	10	CSOAR-Alumni Tracking
Community College Summer Enrichment Program - Alumni Tracking	9	CCSEP Alumni Tracking
Graduate -Summer Opportunities in Advanced Research - Alumni Tracking	11	GSOAR-Alumni Tracking
Graduate Data Science Summer Program - Alumni Tracking	12	GDSSP Alumni Tracking
Graduate Partnerships Program - Awards Certificate	32	GPP Student Award Certificate
Graduate Partnerships Program - Interview Experience Survey	30	GPP Interview Experience
Graduate Partnerships Program - Recommendation Letters for Application	29	GPP Recommendation Letters
Graduate Partnerships Program Application	28	GPP Application
Graduate Partnerships Program Registration	31	GPP Registration
HiSTEP &HiSTEP2 - Alumni Tracking	3	HiSTEP&HiSTEP2-Alumni
High School Scientific Training & Enrichment Program - Orientation	1	HiSTEP - Orientation
High School Scientific Training & Enrichment Program 2.0 - Orientation	2	HiSTEP2 - Orientation
MYOITE - User Accounts	33	MyOITE account
MyOITE - NIH Alumni	34	MyOITE-Alumni
NIH Academy - Enrichment Program Application	27	Academy Enrichment Application
NIH Academy - Fellow & Certificate Programs Application	26	Academy Fellows&Certificate Application
Native American Visit Week - Application	13	NAVW Application
Native American Visit Week - Feedback	15	NAVW-Feedback
Native American Visit Week - Recommendation Letters	14	NAVW-Recommendation Letters
OITE Careers Blog - Success Stories	35	Blog-Success Stories
Postbaccalaureate Training Program - Recommendation Letters	25	PBT Recommendation Letters
Postbaccalaureate Training Program Application	24	PBT Application
Summer Internship Program - Application	4	SIP - Application
Summer Internship Program - Recommendation Letters	5	SIP-Recommendation Letters
UGSP - Deferment Form - Completed by UGSP Scholar	23	UGSP Deferment
Undergraduate Scholarship Program - Application	16	UGSP-Application
Undergraduate Scholarship Program - Deferment Form - Completed by Univ., staff	23	UGSP Deferment
Undergraduate Scholarship Program - Deferment Form Completed by Scholar	23	UGSP Deferment
Undergraduate Scholarship Program - Evaluation of Scholar Pay Back Period	20	UGSP Payback Feedback Mentor
Undergraduate Scholarship Program - Exceptional Financial Need Resubmission - Completed by Applicant	18	UGSP Certification
Undergraduate Scholarship Program - Exceptional Financial Need resubmission- Completed by Univ., staff	18	UGSP Certification
Undergraduate Scholarship Program - Exceptional Financial Need-Completed by Applicant	18	UGSP-Certification
Undergraduate Scholarship Program - Recommendation Letters for Renewals	22	UGSP Renewal Application Recommendation Letter
Undergraduate Scholarship Program - Renewal Application	21	UGSP Renewal Application
Undergraduate Scholarship Program - Scholar Contract	19	UGSP Scholarship Contract
Undergraduate Scholarship Program-Exceptional Financial Need - Completed by Univ. Staff	18	UGSP Certification
Undergraduate Scholarship Program-Recommendation Letters for Applicant	17	UGSP-Application Recommendation Letter

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	45,559	43,979	0	1,580	0	0
Annual Time Burden (Hours)	13,858	13,297	0	561	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: The following modifications result in an increase in the respondent burden: • Reassessment of the number of respondents for the NIH Academy Enrichment Program (NAEP) application (Attachment 27). • Additional question in the NIH Academy Enrichment Program (NAEP) application (Attachment 27) • Reduction in the number of fields and configuration of the NIH Alumni form (Attachment 34) • Creation of Academic Internship Program (Attachment 36 and Attachment 37) • Resubmission of the UGSP Certificate of Exceptional Financial Need form by applicants and university personnel is no longer needed (Attachment 18) • Increase in the number of UGSP scholars completing a portion of the UGSP Deferment Form • Reduction in the burden time for university personnel completing a portion of the UGSP Deferment Form

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Annual Cost to Federal Government: $690,063

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: 02/09/2021

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