The National Institute of
Environmental Health Sciences (NIEHS) is requesting a revision to
the "Simplified" (short form) of our clearance for the Extramural
Grantee Data Collection Survey “Common Form”
US Code:
42
USC 285 Name of Law: Public Health Service Act
We received feedback from the grantees that
they would like to have more defined fields in which to enter their
data. Grantees also indicated that there were several other
activities they would like to report on. In response, we have
expanded the list of activities that grantees can report on in the
simplified form of the survey, see Attachment III
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
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:
(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;
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.