Information Collection

Introduction to Cancer Research Careers (ICRC) Application (NCI)

IC 254649 under ICR 202205-0925-002 · OMB 0925-0761.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0761 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Introduction to Cancer Research Careers (ICRC) Application (NCI)	Form and Instruction
1 ICRC application Attachment 1-ICRC Application 7.13.pdf	Form and Instruction
2 ICRC reference letters Attachment 2-ICRC Reference Letter 7.13.pdf	Form
SSA-ICRC REVISED.docx Mini SSA	IC Document
Attachment 5 - Privacy Act Memo.pdf privacy Act memo	IC Document
Attachment 4 -PIA.pdf PIA	IC Document

IC Title:

Introduction to Cancer Research Careers (ICRC) Application (NCI)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	ICRC application	Attachment 1-ICRC Application 7.13.pdf		Yes	Yes	Fillable Fileable
Form	2	ICRC reference letters	Attachment 2-ICRC Reference Letter 7.13.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: #09-25-0014, âClinical Research; Student Records, HHS/PHS/NIH/OD/OID/OE

FR Citation: 67 FR 60742

Number of Respondents: 360

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA	SSA-ICRC REVISED.docx	07/14/2022
privacy Act memo	Attachment 5 - Privacy Act Memo.pdf	07/14/2022
PIA	Attachment 4 -PIA.pdf	07/14/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.