Information Collection Request

Application Forms for the NIDA Summer Research Internship Program

ICR 201602-0925-004 · OMB 0925-0738 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 Student Application Form Undergraduates Form and Instruction New Repair queued
Form 1 Student Application Form High School Students Form and Instruction New Repair queued
Supporting Statement A -Final--1.doc Supporting Statement A Uploaded 2016-02-10 Available
30-day FRN 2016-02446.pdf Supplementary Document Uploaded 2016-02-09 Available
Attachment 3-Privacy Act Memo.pdf Supplementary Document Uploaded 2016-02-03 Available
Attachment 2 - Example of drop-down Menus.docx Supplementary Document Uploaded 2016-02-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
219962 Student Application Form Undergraduates Form and Instruction New
219961 Student Application Form High School Students Form and Instruction New
ICR Details
0925-0738 201602-0925-004
Historical Active
HHS/NIH
Application Forms for the NIDA Summer Research Internship Program
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 03/24/2016
Retrieve Notice of Action (NOA) 02/10/2016
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved
350 0 0
350 0 0
0 0 0

This is a request for approval of an existing Collection that is in use without an OMB Control Number. It was discovered that application forms for the NIDA Summer Research Internship Program were being used without OMB Clearance from the Paperwork Reduction Act, in 2015 and in earlier years. The National Institute on Drug Abuse (NIDA), the National Institutes of Health (NIH), seeks to rectify this by applying for clearance for the application forms for this program so that the information collection for this program will be in compliance with the Act from now on. These applications are essential to the administration of these training programs as they enable NIDA to determine the eligibility and quality of potential awardees; to assess their potential as future scientists; and to make decisions regarding which applicants will be proposed and approved for traineeship awards.

US Code: 42 USC sections 241 and 282(b)(13) Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  80 FR 53164 09/02/2015
81 FR 6874 02/09/2016
No

  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 350 0 0 350 0 0
Annual Time Burden (Hours) 350 0 0 350 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
new collection existing without OMB number

$361,896
No
No
No
No
No
Uncollected
Tawanda Abdelmouti 240 276-5530 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/10/2016