National Eye Institute’s Intramural Research ProgramApplication Form for electronic Individual Development Plan (eIDP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3 Exit Survey Part 2 screenshot	Form and Instruction	New	Available
Form 3 Exit Survey Part 2	Form and Instruction	New	Repair queued
Form 2 Exit survey Part 1	Form and Instruction	New	Repair queued
Form 2 Exit survey Part 1	Form and Instruction	New	Repair queued
Form 1 Initial eIDP Trainees screenshot	Form and Instruction	New	Available
Form 1 eIDP	Form and Instruction	New	Repair queued
30-day correction FRN2021-18812.pdf	Supplementary Document	Uploaded 2021-09-01	Repair queued
pub 30day 2021-18393.pdf	Supplementary Document	Uploaded 2021-08-26	Repair queued
attachment 4 - Email Notifications.pdf	Supplementary Document	Uploaded 2021-08-26	Repair queued
attachment 5 - Privacy Impact Assessment (PIA).pdf	Supplementary Document	Uploaded 2021-08-26	Repair queued
SSA-eIDP (2).docx	Supporting Statement A	Uploaded 2021-08-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249047	Exit Survey Part 2	Form and Instruction	New	Exit Survey Part 2 screenshot
249047	Exit Survey Part 2	Form and Instruction	New
249046	Exit survey Part 1	Form and Instruction	New	Exit survey Part 1
249046	Exit survey Part 1	Form and Instruction	New
249045	eIDP	Form and Instruction	New	Initial eIDP Trainees screenshot
249045	eIDP	Form and Instruction	New

ICR Details

OMB Control No: 0925-0772	ICR Reference No: 202108-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Eye Institute’s Intramural Research ProgramApplication Form for electronic Individual Development Plan (eIDP)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/07/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/02/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved
Responses	450	0	0
Time Burden (Hours)	213	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is to request approval of the implementation of an electronic Individual Development Plan (eIDP), with an exit survey. Completing an eIDP is a crucial step in a trainees’ professional development and is a standard in graduate and postdoctoral education. An IDP is an effective tool for trainees to think about their career goals and skills needed to achieve them during their time at the NEI. Trainees work together with their research mentor to organize and describe their research projects, consider career paths, and set training goals and expectations. The eIDP will involve an initial assessment when a trainee starts at the NEI and then collected annually afterwards to track progress as they complete their fellowship. The eIDP system also includes an exit survey to collect outcomes data and assess the mentoring environment in the Intramural Research Program.

---

Authorizing Statute(s): US Code: 42 USC 216, 282(b)(13), 284(b)(1)(C) Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 27856	05/24/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 47651	08/26/2021
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Exit Survey Part 2	3	Exit Survey Part 2 screenshot
Exit survey Part 1	2	Exit survey Part 1
eIDP	1	Initial eIDP Trainees screenshot

---

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	450	0	0	450	0	0
Annual Time Burden (Hours)	213	0	0	213	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: No

Burden Reduction Due to:

Short Statement: New submission

---

Annual Cost to Federal Government: $51,328

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

---

Common Form ICR:  No

---

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: 09/02/2021

---