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	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Nomination	Form	New	Repair queued
Form 3 Form	Form	New	Repair queued
Form 2 Form	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Nomination	Form	New	Repair queued
Form 1 ListServe Form	Form	New	Repair queued
Form 1 Registration	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 Application	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 6 Institutional Signing Official Certifying DUS	Form	New	Repair queued
Form 5 Developer Submitting DUS	Form	New	Repair queued
Form 4 Institutional Signing Official Certifying DUS	Form	New	Repair queued
Form 3 Developer Submitting Renewal DUS	Form	New	Repair queued
Form 2 Institutional Signing Official Certifying DUS	Form	New	Repair queued
Form 1 Developer Submitting DUS	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Data Collection Tool	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Template	Form	New	Repair queued
Form 1 Application	Form	New	Repair queued
Form 1 Nomination Form	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 7 Consent Form—Clinicians	Form	New	Repair queued
Form 6 Moderator’s Guide—Clinicians	Form	New	Repair queued
Form 5 Recruitment Screener—Clinicians	Form	New	Repair queued
Form 4 Consent Form—Consumers	Form	New	Repair queued
Form 3 Moderator’s Guide—People Living with Pain and Caregivers	Form	New	Repair queued
Form 2 Recruitment Screener—Family Caregivers	Form	New	Repair queued
Form 1 Recruitment Screener—People Living with Pain and Caregivers	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Nomination Form	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Application	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Expertise Form	Form	New	Repair queued
Form 1 Application	Form	New	Repair queued
Form 1 Interest Form	Form	New	Repair queued
Form 1 Application	Form	New	Repair queued
Form 1 Nomination Form	Form	New	Repair queued
Form 1 Application	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Selection Table	Form	New	Repair queued
Form 1 Submission Form	Form	New	Repair queued
Form 1 Self Nomination Form	Form	New	Available
Form 1 Survey	Form	New	Available
0766 Privacy Act Memo.pdf	Supplementary Document	Uploaded 2023-07-31	Repair queued
0766 30 day notice.pdf	Supplementary Document	Uploaded 2023-07-31	Repair queued
0925-0766 exp. 7.23.docx	Supplementary Document	Uploaded 2023-07-31	Repair queued
0925-0766 SSA 2023.docx	Supporting Statement A	Uploaded 2023-07-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280504	Symposia Submission Form for the 2026 Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative Conference	Form	New	Survey
280114	NIEHS Superfund Research Program (SRP) Data Collection Tool	Form and Instruction	New	1
280045	Evidence-Based Cancer Control Programs (EBCCP) Website Update Form (NCI)	Form	New	Survey
279853	The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship - Nominations	Form	New	Nomination
279853	The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship - Nominations	Other-Upload Box	New
279543	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Form
279543	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Form
279543	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Form
279525	Rachel Pearline Award Nomination Form (NCI)	Form	New	Nomination
277554	Update of NIDA Listserv Information (NIDA)	Form	New	ListServe Form
277400	2025 Brain Research Through Advancing Innovative Neurotechnologies Initiative Alliance Toolmakers Submission (NINDS)	Form	New	Registration
277270	NIEHS Epidemiology Branch - Study Request Form	Form	New	Form
275892	BPCA Framework Curation (NICHD)	Form and Instruction	New	Survey
275625	Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	Form	New	Application
275625	Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	Instruction	New
275315	NIH CEREBRAL VISUAL IMPAIRMENT (CVI) REGISTRY CLINICAL SITE INTEREST AND FEASIBILITY FORM (NEI)	Form	New	Form
275277	National Cancer Institute Office of Cancer Survivorship Cancer Survivor and Caregiver Stories	Form	New	Survey
275258	Evidence-Based Cancer Control Programs (EBCCP) Program Submission Form (NCI)	Form	New	Survey
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Institutional Signing Official Certifying DUS
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Developer Submitting DUS
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Institutional Signing Official Certifying DUS
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Developer Submitting Renewal DUS
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Institutional Signing Official Certifying DUS
273816	National Institutes of Health (NIH) Developer Use Statement (DUS)	Form	New	Developer Submitting DUS
273604	Biopharmaceutical Development Program (BDP) Webpage Data Collection	Form	New	Form
272434	National Institute of Biomedical Imaging and Bioengineering (NIBIB) Division of Interdisciplinary Training (training division) R13 Program Pre-Submission Request	Form	New	Form
272424	National Plan to End Parkinson's Act Advisory Council Member Nomination Form (NINDS)	Form	New	Survey
272299	NIEHS Superfund Research Program (SRP) Data Collection Tool	Form	New	Data Collection Tool
271942	National Institute of Neurological Disorders and Stroke (NINDS) R13 Program Pre-Submission Request	Form	New	Form
271938	NIDA Council PWLLE Workgroup Recruitment	Form	New	Template
271927	Small Business Application to NCI SBIR's Mentor and Trainee Connections Hub Program (MATCHUP)	Form	New	Application
271248	Rachel Pearline Award Nomination Form (NCI)	Form	New	Nomination Form
271200	The Office of Programs to Enhance the Neuroscience Workforce (OPEN) Workforce Talent Database (OWT) Supportee Survey	Form	New	Survey
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Consent Form—Clinicians
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Moderator’s Guide—Clinicians
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Recruitment Screener—Clinicians
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Consent Form—Consumers
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Moderator’s Guide—People Living with Pain and Caregivers
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Recruitment Screener—Family Caregivers
270983	Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	Form	New	Recruitment Screener—People Living with Pain and Caregivers
270743	Application to NCI SBIR's Mentor and Trainee Connections Hub Program (MATCHUP)	Form	New	Survey
270735	NIAID Intramural Research Training – Information Request	Form	New	Form
270295	NICHD Professional Development Planning Group Volunteer Nomination Form (NICHD)	Form	New	Nomination Form
269935	NIDCD Global Health Expert Survey	Form	New	Survey
269437	NIH ODSS FAIR Survey	Form	New	Survey
268024	Publication Bias Workshop Feedback and Plans for Moving Forward (NINDS)	Form	New	Survey
268022	Datatypes used in cancer research (NCI)	Form	New	Survey
267222	National Institute on Aging's (NIA) 2024 Inside NIA Blog Reader Survey	Form	New	Survey
267222	National Institute on Aging's (NIA) 2024 Inside NIA Blog Reader Survey	Other-Word Version	New
267044	Hepatology Fellowship Program Application (NIDDK)	Form	New	Application
266922	Office of Pain Policy and Planning Research Podcast Survey (NINDS)	Form	New	Survey
265155	Review Expertise Form (REF) of the NLM Potential Reviewers	Form	New	Expertise Form
264377	Connecting Awardees with Regulatory Experts (CARE) (NCI)	Form	New	Application
264074	Helping to End Addiction Long-TermSM (HEAL) Connections Consultation Request Form (OD)	Form	New	Interest Form
263795	Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	Form	New	Application
263593	Rachel Pearline Award Nomination Form (NCI)	Form	New	Nomination Form
263165	Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	Form and Instruction	New	Application
262863	IRP Rodent Behavioral Core Survey (NIMH)	Form	New	Survey
262790	National Institute of Neurological Disorders and Stroke (NINDS) Common Data Elements (CDE) Selection Platform	Form	New	Selection Table
262434	Symposia Submission Form for the 10th Annual Brain Research Through Advancing Innovative Neurotechnologies (BRAIN) Initiative Meeting	Form	New	Submission Form
262223	Self-Nomination Form for the NICHD OHE Internal Advisory Committee (NICHD)	Form	New	Self Nomination Form
262173	NCI's Center for Global Health (CGH) Survey on Cancer Therapeutic Clinical Trials in Low- and Middle-Income Countries	Form	New	Survey

ICR Details

OMB Control No: 0925-0766	ICR Reference No: 202307-0925-004
Status: Active	Previous ICR Reference No: 202301-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/01/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/31/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved	08/31/2023
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 extension will allow the continuation of projects for 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. Call for Participants was added to section A.2 to give a clearer view to users of the type of collections that may fall under this generic and does not go beyond the scope of the original use and is shown as another means of gathering information about resources.

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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:
	88 FR 9527	02/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 49473	07/31/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 46

table that charts list of burden

IC Title	Form No.	Form Name
2025 Brain Research Through Advancing Innovative Neurotechnologies Initiative Alliance Toolmakers Submission (NINDS)	1	Registration
Application to NCI SBIR's Mentor and Trainee Connections Hub Program (MATCHUP)	1	Survey
BPCA Framework Curation (NICHD)	1	Survey
Biopharmaceutical Development Program (BDP) Webpage Data Collection	1	Form
Connecting Awardees with Regulatory Experts (CARE) (NCI)	1	Application
Datatypes used in cancer research (NCI)	1	Survey
Evidence-Based Cancer Control Programs (EBCCP) Program Submission Form (NCI)	1	Survey
Evidence-Based Cancer Control Programs (EBCCP) Website Update Form (NCI)	1	Survey
Focus Groups to Seek Input on NIH HEAL Initiative® Messaging on Pain Research	1, 2, 3, 4, 5, 6, 7	Recruitment Screener—People Living with Pain and Caregivers ,   Recruitment Screener—Family Caregivers ,   Moderator’s Guide—People Living with Pain and Caregivers ,   Consent Form—Consumers ,   Recruitment Screener—Clinicians ,   Moderator’s Guide—Clinicians ,   Consent Form—Clinicians
Helping to End Addiction Long-TermSM (HEAL) Connections Consultation Request Form (OD)	1	Interest Form
Hepatology Fellowship Program Application (NIDDK)	1	Application
IRP Rodent Behavioral Core Survey (NIMH)	1	Survey
NCI's Center for Global Health (CGH) Survey on Cancer Therapeutic Clinical Trials in Low- and Middle-Income Countries	1	Survey
NIAID Intramural Research Training – Information Request	1	Form
NICHD Professional Development Planning Group Volunteer Nomination Form (NICHD)	1	Nomination Form
NIDA Council PWLLE Workgroup Recruitment	1	Template
NIDCD Global Health Expert Survey	1	Survey
NIEHS Epidemiology Branch - Study Request Form	1	Form
NIEHS Superfund Research Program (SRP) Data Collection Tool	1	Data Collection Tool
NIEHS Superfund Research Program (SRP) Data Collection Tool	Survey	1
NIH CEREBRAL VISUAL IMPAIRMENT (CVI) REGISTRY CLINICAL SITE INTEREST AND FEASIBILITY FORM (NEI)	1	Form
NIH ODSS FAIR Survey	1	Survey
National Cancer Institute Office of Cancer Survivorship Cancer Survivor and Caregiver Stories	1	Survey
National Institute of Biomedical Imaging and Bioengineering (NIBIB) Division of Interdisciplinary Training (training division) R13 Program Pre-Submission Request	1	Form
National Institute of Neurological Disorders and Stroke (NINDS) Common Data Elements (CDE) Selection Platform	1	Selection Table
National Institute of Neurological Disorders and Stroke (NINDS) R13 Program Pre-Submission Request	1	Form
National Institute on Aging's (NIA) 2024 Inside NIA Blog Reader Survey	1	Survey
National Institutes of Health (NIH) Developer Use Statement (DUS)	1, 2, 3	Form ,   Form ,   Form
National Institutes of Health (NIH) Developer Use Statement (DUS)	1, 5, 2, 3, 4, 6	Developer Submitting DUS ,   Institutional Signing Official Certifying DUS ,   Developer Submitting Renewal DUS ,   Institutional Signing Official Certifying DUS ,   Developer Submitting DUS ,   Institutional Signing Official Certifying DUS
National Plan to End Parkinson's Act Advisory Council Member Nomination Form (NINDS)	1	Survey
Nominations for Center for Cancer Training NCI Director's Outstanding Mentor Award (NCI)	1	Application
Nominations for Center for Cancer Training NCI Staff Scientists and Staff Clinicians Outstanding Mentor Award Programs (NCI)	1	Application
Office of Pain Policy and Planning Research Podcast Survey (NINDS)	1	Survey
Publication Bias Workshop Feedback and Plans for Moving Forward (NINDS)	1	Survey
Rachel Pearline Award Nomination Form (NCI)	1	Nomination Form
Rachel Pearline Award Nomination Form (NCI)	1	Nomination
Rachel Pearline Award Nomination Form (NCI)	1	Nomination Form
Review Expertise Form (REF) of the NLM Potential Reviewers	1	Expertise Form
Self-Nomination Form for the NICHD OHE Internal Advisory Committee (NICHD)	1	Self Nomination Form
Small Business Application to NCI SBIR's Mentor and Trainee Connections Hub Program (MATCHUP)	1	Application
Specialized Program of Research Excellence (SPORE) Webpage Information and Instructions (NCI)	1	Application
Symposia Submission Form for the 10th Annual Brain Research Through Advancing Innovative Neurotechnologies (BRAIN) Initiative Meeting	1	Submission Form
Symposia Submission Form for the 2026 Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative Conference	1	Survey
The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship - Nominations	1	Nomination
The Office of Programs to Enhance the Neuroscience Workforce (OPEN) Workforce Talent Database (OWT) Supportee Survey	1	Survey
Update of NIDA Listserv Information (NIDA)	1	ListServe Form

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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:

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Annual Cost to Federal Government: $16,325

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: 07/31/2023

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