Biographical Sketch Form for Use with Applications to the Maternal and Child Health Bureau Research Grants

Forms and Documents

Document Name	Status
Form 1 Biological Sketch Reinstatement Form and Instruction	New
Form 2 PHS Inclusion Enrollment Form for MCHB Research and Training Grant Applications Form and Instruction	Removed
Form 1 Biographical Sketch for MCHB Research and Training Grant Applicants Form and Instruction	Removed
Supporting Statement A Instructions Biosketch.docx Supporting Statement A	2023-08-18

IC Document Collections

IC ID	Document Title	Status
261621	Biological Sketch Reinstatement Form and Instruction	New
237700	PHS Inclusion Enrollment Form for MCHB Research and Training Grant Applications Form and Instruction	Removed
237698	Biographical Sketch for MCHB Research and Training Grant Applicants Form and Instruction	Removed

ICR Details

OMB Control No: 0906-0048	ICR Reference No: 202308-0906-001
Status: Received in OIRA	Previous ICR Reference No: 201909-0906-003
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Biographical Sketch Form for Use with Applications to the Maternal and Child Health Bureau Research Grants
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/18/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	1,000	0
Time Burden (Hours)	1,750	0
Cost Burden (Dollars)	0	0

---

Abstract: HRSA proposes to collect information in that describes the qualifications of proposed researchers and the description of research participants. This is an important component of ensuring demographic diversity (race, ethnicity, and gender) among research study participants. This allows MCHB to determine to what extent individuals of different backgrounds are participating. Likely respondents are potential applicants to HRSA’s MCHB research and training programs.

---

Authorizing Statute(s): PL: Pub.L. 0 - 0 3506 (c)(2)(A) Name of Law: Paperwork Reduction Act of 1995
   PL: Pub.L. 97 - 35 0 Name of Law: OBRA 1981
   PL: Pub.L. 101 - 239 501(a)(2) and (3) Name of Law: OBRA 1989
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 12953	03/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 56025	08/17/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Biographical Sketch for MCHB Research and Training Grant Applicants	1	Biographical Sketch for Research Grant Applicants-PI-race-ethnicity-data
Biological Sketch Reinstatement	1	Biosketch Reinstatement
PHS Inclusion Enrollment Form for MCHB Research and Training Grant Applications	2	PHS_Inclusion-Enrollment-Form.pdf

---

ICR Summary of Burden

	Total Request	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	1,000	0	0	1,000	-1,200	1,200
Annual Time Burden (Hours)	1,750	0	0	1,750	-2,100	2,100
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The IC burden increased because of the removal of the previous two forms, and the combination of the information into one form. The proposed revisions will result in a net ¼ hour reduction in burden hours per respondent with an overall per respondent burden reduction of 50 hours. This is attributable to the removal of Section D: Related Experience and Section E: Additional Information: Research Support and/or Scholastic Performance Awards.

---

Annual Cost to Federal Government: $4,480

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.     No

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.     No

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

---

Common Form ICR:  No

---

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: 08/18/2023

---