Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 STRIDES Self-Paced Learning Trials survey instrument	Form	New	Repair queued
Form 2 Think a thon	Form and Instruction	New	Repair queued
Form 1 Platform Registration Form	Form and Instruction	New	Repair queued
Form 1 RCDC Communication and Training survey	Form	New	Repair queued
Form 2 follow up call script	Form and Instruction	New	Repair queued
Form 1 Traveling Exhibition Host Venue survey	Form	New	Repair queued
Form 1 Registration	Form	New	Repair queued
Form 1 WG Prospectice member survey	Form	New	Repair queued
Form 1 LifeWork intake survey	Form and Instruction	New	Repair queued
Form 1 OCS 2022 screenshots	Form	New	Repair queued
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 survey screenshot	Form	New	Repair queued
Form 1 Bioinformatic Survey	Form	New	Repair queued
Form 1 Questionnaire	Form	New	Repair queued
Form 1 Climate survey	Form	New	Repair queued
Form 1 DEIA Survey	Form	New	Repair queued
Form 1 Fall 2022 Mixed meeting format review	Form	New	Repair queued
Form 1 IGNITE survey screenshot	Form	New	Repair queued
Form 1 IRP Strategic Planning Survey	Form	New	Repair queued
Form 1 ASGCR 2023 Nominee Form	Form and Instruction	New	Repair queued
Form 2 SBIR CARE application	Form and Instruction	New	Repair queued
Form 1 CARE Feedback survey	Form	New	Repair queued
Form 1 iCURE 2022 questionnaire screenshot	Form	New	Repair queued
Form 1 Nomination screenshot	Form	New	Repair queued
Form 2 DataSci Hub survey	Form	New	Repair queued
Form 1 Data/Sci Moderator Guide	Form and Instruction	New	Repair queued
Form 1 Stigma survey screenshot	Form	New	Repair queued
Form 1 Cancer Economics Research Survey	Form	New	Repair queued
Form 2 Nomination form screenshot	Form	New	Repair queued
Form 1 Nominee Information email template request	Form	New	Repair queued
Form 1 IRP Strategic Planning Survey	Form	New	Repair queued
Form 1 OAM Customer survey	Form	New	Repair queued
Form 2 EIAP AppReview 2022 survey	Form	New	Repair queued
Form 1 EIAP APP 2022 survey	Form	New	Repair queued
Form 1 Reviewer form screenshot	Form	New	Repair queued
Form 5 Scientific Advisory Committee Members Survey	Form	New	Repair queued
Form 4 RCMI Leadership Survey	Form	New	Repair queued
Form 3 Institutional Leaders Survey	Form	New	Repair queued
Form 2 Faculty Survey	Form	New	Repair queued
Form 1 Community Advisory Board Member Survey	Form	New	Repair queued
Form 1 OFT Trainee survey	Form and Instruction	New	Repair queued
Form 1 NCTN Survey	Form	New	Repair queued
Form 1 GCHD Supplement survey	Form	New	Repair queued
Form 1 sreensnips from Webform and Webpages	Form and Instruction	New	Repair queued
Form 1 NICHD 2022 BPCA Prioritization Nomination survey	Form and Instruction	New	Repair queued
Form 1 2021 IPRCC Nomination form	Form	New	Repair queued
Form 1 Cohort questionnaire	Form	New	Repair queued
Form 1 2022 Rachel Pearline Award nomination	Form and Instruction	Unchanged	Available
Form 1 Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged	Available
Form 1 CCIS Awards Program Submission Form	Form and Instruction	Unchanged	Available
Form 1 Call for Proposals to Support Development of Public Goods for Consortium for Cancer Implementation Science (CCIS) (NCI)	Form and Instruction	Unchanged	Repair queued
Form 1 SPORE webpage screenshot	Form	Unchanged	Available
Form 1 Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	Form	Unchanged	Repair queued
Form 1 Idea Generation feedback screenshot	Form	Unchanged	Available
Form 1 NIDCD 2022-2027 Strategic Plan: Idea Generation Template (NIDCD)	Form	Unchanged	Repair queued
Form 2 Community survey	Form	Unchanged	Available
Form 1 Use cases survey	Form	Unchanged	Available
Form 1 Environmental Health Language Collaborative Survey (NIEHS)	Form	Unchanged	Repair queued
Form 1 BPCA Framework survey	Form and Instruction	Unchanged	Available
Form 1 BPCA Framework Initiative Resource Collection (NICHD)	Form and Instruction	Unchanged	Repair queued
Form 1 Cancer Moonshot Junior Investigators Nomination form	Form	Unchanged	Available
Form 1 Cancer Moonshot Junior Investigators Nomination (NCI)	Form	Unchanged	Repair queued
Form 1 Nomination form NCI Director Award	Form	Unchanged	Available
Form 1 Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	Form	Unchanged	Repair queued
Form 2 SSSC Nomination Upload website	Form	Unchanged	Available
Form 1 SSSC Nomination form	Form	Unchanged	Available
Form 1 Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	Form	Unchanged	Repair queued
Form 1 Survey Survivorship Transplant	Form and Instruction	Unchanged	Available
Form 1 Survivorship Survey for Post-Transplant Interdisciplinary Providers (NCI)	Form and Instruction	Unchanged	Missing upstream
Form 2 Tox21 Assay Nomination 2020	Form	Unchanged	Available
Form 1 Nominate to NTP 2020	Form	Unchanged	Available
Form 1 Nominate to NTP and NTP Tox21 Assay Nomination Forms (NIEHS)	Form	Unchanged	Repair queued
Form 1 Substudy NICHD BPCA Prioritization Survey	Form and Instruction	Unchanged	Available
Form 1 BPCA Prioritization – Identification of Knowledge Gaps in Pediatric Drug Development (NICHD)	Form and Instruction	Unchanged	Repair queued
Form 1 Nomination form	Form and Instruction	Unchanged	Available
Form 1 Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged	Repair queued
Form 1 SME Interest form	Form	Unchanged	Available
Form 1 NIAID ClinRegs Country Specific SME Interest Form (NIAID)	Form	Unchanged	Repair queued
Form 1 NINDS CDE Project form	Form and Instruction	Unchanged	Available
Form 1 Common Data Elements (CDE) Project Request Form (NINDS)	Form and Instruction	Unchanged	Repair queued
Form 1 BPCA survey	Form and Instruction	Unchanged	Available
Form 1 BPCA Stakeholder Contact Details (NICHD)	Form and Instruction	Unchanged	Repair queued
Form 1 Blueprint Handout	Form and Instruction	Unchanged	Available
Form 1 Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Federal Government))	Form and Instruction	Unchanged	Repair queued
Form 1 Blueprint Handout	Form and Instruction	Unchanged	Available
Form 1 Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	Form and Instruction	Unchanged	Repair queued
Form 1 Screenshot of Society Recommendation Webpage	Form	Unchanged	Available
Form 1 Professional Societies' Recommendations of Scientific Reviewers for NIH CSR Review Sections (CSR)	Form	Unchanged	Repair queued
0925-0766 OMB Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-09-23	Available
0925-0766 OMB Change Request Memo.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-09-23	Available
Privacy Act Memo.pdf	Supplementary Document	Uploaded 2020-03-23	Available
Privacy Act Memo.pdf	Supplementary Document	Uploaded 2020-03-23	Repair queued
pub 30day FRN2020-05104.pdf	Supplementary Document	Uploaded 2020-03-13	Available
pub 30day FRN2020-05104.pdf	Supplementary Document	Uploaded 2020-03-13	Repair queued
Example Mini Supporting Statement for New generic.docx	Supplementary Document	Uploaded 2020-03-13	Available
Example Mini Supporting Statement for New generic.docx	Supplementary Document	Uploaded 2020-03-13	Repair queued
new generic Template 2020.docx	Supplementary Document	Uploaded 2020-03-13	Available
new generic Template 2020.docx	Supplementary Document	Uploaded 2020-03-13	Repair queued
0925-0766 SSA (2021-09-28).docx	Supporting Statement A	Uploaded 2021-09-28	Available
NIH New Generic SSA final.docx	Supporting Statement A	Uploaded 2020-03-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258290	NCI National Clinical Trials Network (NCTN) Survey	Form and Instruction	New	Survey
258118	NIH ODSS STRIDES Initiative Self-Paced Learning Trials Post-Trial Survey (OD)	Form	New	STRIDES Self-Paced Learning Trials survey instrument
257955	ScHARe Platform Registration Form	Form and Instruction	New	Think a thon
257955	ScHARe Platform Registration Form	Form and Instruction	New	Platform Registration Form
257516	RCDC Communications and Training Activities Survey (DSCA/OD)	Form	New	RCDC Communication and Training survey
257456	NLM Traveling Exhibition Host Venue Report	Form and Instruction	New	follow up call script
257456	NLM Traveling Exhibition Host Venue Report	Form	New	Traveling Exhibition Host Venue survey
257426	Nomination to Serve on Peer Review Activities for the National Institute of Mental Health (NIMH)	Form	New	Registration
257289	NCI Equity and Inclusion Working Group: Call for Volunteers (NCI)	Form	New	WG Prospectice member survey
257288	LifeWork Strategies NIH Parenting Coach Request Form (OD)	Form and Instruction	New	LifeWork intake survey
257187	2022 ORS Contractor Survey	Form	New	OCS 2022 screenshots
256978	Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS)	Form and Instruction	New	Survey
256674	Share your ideas on Lived Experience Engagement in Science (NINDS)	Form	New	survey screenshot
256474	NCI Bioinformatics Survey (NCI)	Form	New	Bioinformatic Survey
256370	Feedback on the NIH Common Fund Glycoscience Program (OD)	Other-Interview guide	New
256258	Variation to Biology: Optimizing Functional Analysis of Cancer Risk Variants (NCI)	Form	New	Questionnaire
256189	NIH Intramural Research Program (NIH-IRP) Trainee Climate Survey (OITE/OD)	Form	New	Climate survey
256188	NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan	Form	New	DEIA Survey
256115	2022 Survey to Assess Review Quality and Mixed Meeting Format Reviews Among NIH Reviewers (CSR)	Form	New	Fall 2022 Mixed meeting format review
256070	Survey of IGNITE graduates (NINDS)	Form	New	IGNITE survey screenshot
255991	Survey to Inform NIMH Strategic Planning for the Division of Intramural Research Programs	Form	New	IRP Strategic Planning Survey
255816	Rachel Pearline Award Nomination Form (NCI)	Form and Instruction	New	ASGCR 2023 Nominee Form
255745	Connecting Awardees with Regulatory Experts (CARE) (NCI)	Form and Instruction	New	SBIR CARE application
255745	Connecting Awardees with Regulatory Experts (CARE) (NCI)	Form	New	CARE Feedback survey
255543	iCURE Scholar Questionnaire (NCI)	Form	New	iCURE 2022 questionnaire screenshot
255320	Nomination to Serve on Advisory and Peer Review Activities for the National Institute of General Medical Sciences (NIGMS)	Form	New	Nomination screenshot
255317	Cancer Data Science Content Needs (NCI)	Form	New	DataSci Hub survey
255317	Cancer Data Science Content Needs (NCI)	Form and Instruction	New	Data/Sci Moderator Guide
255314	Stigma trainee survey (FIC)	Form	New	Stigma survey screenshot
255260	Cancer Health Economics Research Collaborative Meeting (NCI)	Form	New	Cancer Economics Research Survey
255259	Landis Award for Outstanding Mentorship - Nominations (NINDS)	Form	New	Nomination form screenshot
255259	Landis Award for Outstanding Mentorship - Nominations (NINDS)	Form	New	Nominee Information email template request
255258	Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)	Form	New	IRP Strategic Planning Survey
255220	OAM Customer Service Survey (NEI)	Form	New	OAM Customer survey
254709	Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	Form	New	EIAP AppReview 2022 survey
254709	Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	Form	New	EIAP APP 2022 survey
254504	The Become an NIDDK Reviewer online survey for gathering information on individuals interested in becoming an NIDDK grant reviewer.	Form	New	Reviewer form screenshot
254438	Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form	New	Scientific Advisory Committee Members Survey
254438	Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form	New	RCMI Leadership Survey
254438	Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form	New	Institutional Leaders Survey
254438	Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form	New	Faculty Survey
254438	Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form	New	Community Advisory Board Member Survey
254371	Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	Form and Instruction	New	OFT Trainee survey
254262	NCTN Performance Measurement Survey (NCI)	Form	New	NCTN Survey
252896	Administrative Supplements to Stimulate or Strengthen Global Cancer Health Disparities Research (NCI)	Form	New	GCHD Supplement survey
251784	Nomination to Serve on Advisory and Peer Review Activities for the National Toxicology Program (NLM)	Form and Instruction	New	sreensnips from Webform and Webpages
251613	2022 Best Pharmaceuticals for Children Act (BPCA) Prioritization Nomination Form (NICHD)	Form and Instruction	New	NICHD 2022 BPCA Prioritization Nomination survey
250282	Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)	Form	New	2021 IPRCC Nomination form
250133	Cohort Consortium Data Pooling Questionnaire (NCI)	Form	New	Cohort questionnaire
249253	Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged	2022 Rachel Pearline Award nomination
249253	Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged
248464	Call for Proposals to Support Development of Public Goods for Consortium for Cancer Implementation Science (CCIS) (NCI)	Form and Instruction	Unchanged	CCIS Awards Program Submission Form
248464	Call for Proposals to Support Development of Public Goods for Consortium for Cancer Implementation Science (CCIS) (NCI)	Form and Instruction	Unchanged
248293	Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	Form	Unchanged	SPORE webpage screenshot
248293	Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	Form	Unchanged
247966	NIDCD 2022-2027 Strategic Plan: Idea Generation Template (NIDCD)	Form	Unchanged	Idea Generation feedback screenshot
247966	NIDCD 2022-2027 Strategic Plan: Idea Generation Template (NIDCD)	Form	Unchanged
247553	Environmental Health Language Collaborative Survey (NIEHS)	Form	Unchanged	Community survey
247553	Environmental Health Language Collaborative Survey (NIEHS)	Form	Unchanged	Use cases survey
247553	Environmental Health Language Collaborative Survey (NIEHS)	Form	Unchanged
246512	BPCA Framework Initiative Resource Collection (NICHD)	Form and Instruction	Unchanged	BPCA Framework survey
246512	BPCA Framework Initiative Resource Collection (NICHD)	Form and Instruction	Unchanged
246489	Cancer Moonshot Junior Investigators Nomination (NCI)	Form	Unchanged	Cancer Moonshot Junior Investigators Nomination form
246489	Cancer Moonshot Junior Investigators Nomination (NCI)	Form	Unchanged
245548	Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	Form	Unchanged	Nomination form NCI Director Award
245548	Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	Form	Unchanged
245527	Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	Form	Unchanged	SSSC Nomination Upload website
245527	Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	Form	Unchanged	SSSC Nomination form
245527	Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	Form	Unchanged
245206	Survivorship Survey for Post-Transplant Interdisciplinary Providers (NCI)	Form and Instruction	Unchanged	Survey Survivorship Transplant
245206	Survivorship Survey for Post-Transplant Interdisciplinary Providers (NCI)	Form and Instruction	Unchanged
244584	Nominate to NTP and NTP Tox21 Assay Nomination Forms (NIEHS)	Form	Unchanged	Tox21 Assay Nomination 2020
244584	Nominate to NTP and NTP Tox21 Assay Nomination Forms (NIEHS)	Form	Unchanged	Nominate to NTP 2020
244584	Nominate to NTP and NTP Tox21 Assay Nomination Forms (NIEHS)	Form	Unchanged
244423	BPCA Prioritization – Identification of Knowledge Gaps in Pediatric Drug Development (NICHD)	Form and Instruction	Unchanged	Substudy NICHD BPCA Prioritization Survey
244423	BPCA Prioritization – Identification of Knowledge Gaps in Pediatric Drug Development (NICHD)	Form and Instruction	Unchanged
244169	Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged	Nomination form
244169	Rachel Pearline Award Nominations (NCI)	Form and Instruction	Unchanged
243478	NIAID ClinRegs Country Specific SME Interest Form (NIAID)	Form	Unchanged	SME Interest form
243478	NIAID ClinRegs Country Specific SME Interest Form (NIAID)	Form	Unchanged
242507	Common Data Elements (CDE) Project Request Form (NINDS)	Form and Instruction	Unchanged	NINDS CDE Project form
242507	Common Data Elements (CDE) Project Request Form (NINDS)	Form and Instruction	Unchanged
241871	BPCA Stakeholder Contact Details (NICHD)	Form and Instruction	Unchanged	BPCA survey
241871	BPCA Stakeholder Contact Details (NICHD)	Form and Instruction	Unchanged
241710	Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Federal Government))	Form and Instruction	Unchanged	Blueprint Handout
241710	Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Federal Government))	Form and Instruction	Unchanged
241709	Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	Form and Instruction	Unchanged	Blueprint Handout
241709	Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	Form and Instruction	Unchanged
241535	Professional Societies' Recommendations of Scientific Reviewers for NIH CSR Review Sections (CSR)	Form	Unchanged	Screenshot of Society Recommendation Webpage
241535	Professional Societies' Recommendations of Scientific Reviewers for NIH CSR Review Sections (CSR)	Form	Unchanged

ICR Details

OMB Control No: 0925-0766	ICR Reference No: 202109-0925-004
Status: Historical Active	Previous ICR Reference No: 202003-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/28/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/23/2021
Terms of Clearance: The agency will submit individual collections under this generic clearance to OMB. These submissions will include the actual study instruments along with a completed template and mini SSA describing the specific study goal, the study design, any incentives to be used, and the sampling and analysis plans.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2023	04/30/2023	04/30/2023
Responses	122,000	0	122,000
Time Burden (Hours)	18,584	0	18,584
Cost Burden (Dollars)	466,044	0	466,044

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Abstract: This is a new generic collection titled, “Generic Clearance for NIH Citizen Science and Crowdsourcing Projects.” Projects under this generic clearance will allow Agency researchers and program staff to test ideas more quickly, respond to the project’s needs as they evolve, and incorporate feedback from participants for flexible, innovative research methods. Any collection under this umbrella is expected to be low in burden.

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Authorizing Statute(s): PL: Pub.L. 114 - 329 402 Name of Law: American Innovation and Competitiveness Act
   US Code: 42 USC 285 Name of Law: Public Health 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:
	84 FR 53162	10/04/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 14689	03/13/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 58

table that charts list of burden

IC Title	Form No.	Form Name
Cancer Moonshot Junior Investigators Nomination (NCI)	1	Cancer Moonshot Junior Investigators Nomination form
2022 Best Pharmaceuticals for Children Act (BPCA) Prioritization Nomination Form (NICHD)	1	NICHD 2022 BPCA Prioritization Nomination survey
2022 ORS Contractor Survey	1	OCS 2022 screenshots
2022 Survey to Assess Review Quality and Mixed Meeting Format Reviews Among NIH Reviewers (CSR)	1	Fall 2022 Mixed meeting format review
Administrative Supplements to Stimulate or Strengthen Global Cancer Health Disparities Research (NCI)	1	GCHD Supplement survey
BPCA Framework Initiative Resource Collection (NICHD)	1	BPCA Framework survey
BPCA Prioritization – Identification of Knowledge Gaps in Pediatric Drug Development (NICHD)	1	Substudy NICHD BPCA Prioritization Survey
BPCA Stakeholder Contact Details (NICHD)	1	BPCA survey
Call for Proposals to Support Development of Public Goods for Consortium for Cancer Implementation Science (CCIS) (NCI)	1	CCIS Awards Program Submission Form
Cancer Data Science Content Needs (NCI)	1, 2	Data/Sci Moderator Guide ,   DataSci Hub survey
Cancer Health Economics Research Collaborative Meeting (NCI)	1	Cancer Economics Research Survey
Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Private Sector)	1	Blueprint Handout
Chronic obstructive pulmonary disease National Action Plan Tracking System - Preliminary Model (Federal Government))	1	Blueprint Handout
Cohort Consortium Data Pooling Questionnaire (NCI)	1	Cohort questionnaire
Common Data Elements (CDE) Project Request Form (NINDS)	1	NINDS CDE Project form
Connecting Awardees with Regulatory Experts (CARE) (NCI)	1, 2	CARE Feedback survey ,   SBIR CARE application
Early Investigator Advancement Program (EIAP) Application Process Surveys (NCI)	1, 2	EIAP APP 2022 survey ,   EIAP AppReview 2022 survey
Environmental Health Language Collaborative Survey (NIEHS)	1, 2	Use cases survey ,   Community survey
Feedback on the NIH Common Fund Glycoscience Program (OD)
Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)	1	2021 IPRCC Nomination form
Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	1	OFT Trainee survey
Landis Award for Outstanding Mentorship - Nominations (NINDS)	1, 2	Nominee Information email template request ,   Nomination form screenshot
LifeWork Strategies NIH Parenting Coach Request Form (OD)	1	LifeWork intake survey
NCI Bioinformatics Survey (NCI)	1	Bioinformatic Survey
NCI Equity and Inclusion Working Group: Call for Volunteers (NCI)	1	WG Prospectice member survey
NCI National Clinical Trials Network (NCTN) Survey	1	Survey
NCTN Performance Measurement Survey (NCI)	1	NCTN Survey
NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan	1	DEIA Survey
NIAID ClinRegs Country Specific SME Interest Form (NIAID)	1	SME Interest form
NIDCD 2022-2027 Strategic Plan: Idea Generation Template (NIDCD)	1	Idea Generation feedback screenshot
NIH Intramural Research Program (NIH-IRP) Trainee Climate Survey (OITE/OD)	1	Climate survey
NIH ODSS STRIDES Initiative Self-Paced Learning Trials Post-Trial Survey (OD)	1	STRIDES Self-Paced Learning Trials survey instrument
NLM Traveling Exhibition Host Venue Report	1, 2	Traveling Exhibition Host Venue survey ,   follow up call script
Nominate to NTP and NTP Tox21 Assay Nomination Forms (NIEHS)	1, 2	Nominate to NTP 2020 ,   Tox21 Assay Nomination 2020
Nomination to Serve on Advisory and Peer Review Activities for the National Institute of General Medical Sciences (NIGMS)	1	Nomination screenshot
Nomination to Serve on Advisory and Peer Review Activities for the National Toxicology Program (NLM)	1	sreensnips from Webform and Webpages
Nomination to Serve on Peer Review Activities for the National Institute of Mental Health (NIMH)	1	Registration
Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	1	Nomination form NCI Director Award
Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	1, 2	SSSC Nomination form ,   SSSC Nomination Upload website
OAM Customer Service Survey (NEI)	1	OAM Customer survey
Professional Societies' Recommendations of Scientific Reviewers for NIH CSR Review Sections (CSR)	1	Screenshot of Society Recommendation Webpage
RCDC Communications and Training Activities Survey (DSCA/OD)	1	RCDC Communication and Training survey
Rachel Pearline Award Nomination Form (NCI)	1	ASGCR 2023 Nominee Form
Rachel Pearline Award Nominations (NCI)	1	2022 Rachel Pearline Award nomination
Rachel Pearline Award Nominations (NCI)	1	Nomination form
ScHARe Platform Registration Form	2, 1	Platform Registration Form ,   Think a thon
Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS)	1	Survey
Share your ideas on Lived Experience Engagement in Science (NINDS)	1	survey screenshot
Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	1	SPORE webpage screenshot
Stigma trainee survey (FIC)	1	Stigma survey screenshot
Survey of IGNITE graduates (NINDS)	1	IGNITE survey screenshot
Survey to Inform NIMH Strategic Planning for the Division of Intramural Research Programs	1	IRP Strategic Planning Survey
Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)	1	IRP Strategic Planning Survey
Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)	1, 2, 3, 4, 5	Community Advisory Board Member Survey ,   Faculty Survey ,   Institutional Leaders Survey ,   RCMI Leadership Survey ,   Scientific Advisory Committee Members Survey
Survivorship Survey for Post-Transplant Interdisciplinary Providers (NCI)	1	Survey Survivorship Transplant
The Become an NIDDK Reviewer online survey for gathering information on individuals interested in becoming an NIDDK grant reviewer.	1	Reviewer form screenshot
Variation to Biology: Optimizing Functional Analysis of Cancer Risk Variants (NCI)	1	Questionnaire
iCURE Scholar Questionnaire (NCI)	1	iCURE 2022 questionnaire screenshot

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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	122,000	122,000	0	0	0	0
Annual Time Burden (Hours)	18,584	18,584	0	0	0	0
Annual Cost Burden (Dollars)	466,044	466,044	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New submission

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Annual Cost to Federal Government: $11,977

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: 09/23/2021

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