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Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)
Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
OMB: 0925-0766
IC ID: 245527
OMB.report
HHS/NIH
OMB 0925-0766
ICR 202109-0925-004
IC 245527
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:
2023-07-31 - Extension without change of a currently approved collection
2023-02-14 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)
Form
Form 1
Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)
Form
1 SSSC Nomination form
Att 1 - SSSC-Nomination-Form.pdf
Form
1 SSSC Nomination form
Att 1 - SSSC-Nomination-Form.pdf
Form
2 SSSC Nomination Upload website
Att 2 - SSSC Nomination Upload Website.pdf
Form
2 SSSC Nomination Upload website
Att 2 - SSSC Nomination Upload Website.pdf
Form
Request Staff Scientists Clinicians Award.docx
sub-study for SSSC Mentor Nomination
IC Document
Request Staff Scientists Clinicians Award.docx
sub-study for SSSC Mentor Nomination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
SSSC Nomination form
Att 1 - SSSC-Nomination-Form.pdf
Yes
Yes
Fillable Fileable
Form
2
SSSC Nomination Upload website
Att 2 - SSSC Nomination Upload Website.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
0
0
0
10
Annual IC Time Burden (Hours)
3
0
0
0
0
3
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
sub-study for SSSC Mentor Nomination
Request Staff Scientists Clinicians Award.docx
02/02/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.