National Cross-site Evaluation of the Broadening Experiences in Scientific Training (BEST)

Forms and Documents

Document Name	Status
Form 12 Attachment A.2.14 Data Form Section 4 Report Once Form and Instruction	New
Form 11 Attachment A.2.13 Data Form Section 3 Report Once Form and Instruction	New
Form 10 Attachment A.2.12 Data Form Section 2 Report Annually Form and Instruction	New
Form 9 Attachment A.2.11 Data Form Section 1 Report Annually Form and Instruction	New
Form 8 Attachment A.2.10 Program Staff Phone Interview Questionnaire Form and Instruction	New
Form 7 Attachment A.2.9 Screenshots 2-year Post-Exit Postdoctoral Scientist Survey Form and Instruction	New
Form 6 Attachment A.2.8 Screenshots 2-year Post Exit Graduate Student Survey Form and Instruction	New
Form 5 Attachment A.2.7 Screenshots Exit Postdoctoral Scientist Survey Form and Instruction	New
Form 4 Attachment A.2.6 Screenshots Entrance Postdoctoral Scientist Survey Form and Instruction	New
Form 3 Attachment A.2.5 Screenshots Exit Graduate Student Survey Form and Instruction	New
Form 2 Attachment A.2.4 Screenshots Interim Graduate Student Survey Form and Instruction	New
Form 1 Attachment A.2.3 Screenshot entrance Graduate Student Survey Form and Instruction	New
Statement A BEST 3_19_2015.docx Supporting Statement A	2015-03-19
Statement B BEST 3_17_2015.docx Supporting Statement B	2015-03-18
Attachment B.2.1.5-Invitation for Phone Interview.docx Supplementary Document	2015-03-18
Attachment B.2.1.4-Invitation Postdoctoral Scientists Surveys - NIH.docx Supplementary Document	2015-03-18
Attachment B.2.1.3-Invitation Graduate Students Surveys - NIH.docx Supplementary Document	2015-03-18
Attachment B.2.1.2-Invitation Postdoctoral Scientists Surveys - Awardee.docx Supplementary Document	2015-03-18
Attachment B.2.1.1-Invitation Graduate Students Surveys - Awardee.docx Supplementary Document	2015-03-18
A.10.2-Letter from NIH Privacy Officer.docx Supplementary Document	2015-03-04
A.10.1-Letter from the NIH OHSRP.docx Supplementary Document	2015-03-04
A.8.3-Members NIH Strengthening Biomedical Research Workforce Working Group BEST Evaluation Subcommittee.docx Supplementary Document	2015-03-04
A.2.2-DSA-Data Collection NIH.docx Supplementary Document	2015-03-04
A.2.1-DSA-Data Collection Awardee.docx Supplementary Document	2015-03-04
A.1.2-RFA-RM-13-019.docx Supplementary Document	2015-03-04
A.1.1-RFA-RM-12-022.docx Supplementary Document	2015-03-04

IC Document Collections

IC ID	Document Title	Status
215746	Attachment A.2.14 Data Form Section 4 Report Once Form and Instruction	New
215745	Attachment A.2.13 Data Form Section 3 Report Once Form and Instruction	New
215744	Attachment A.2.12 Data Form Section 2 Report Annually Form and Instruction	New
215742	Attachment A.2.11 Data Form Section 1 Report Annually Form and Instruction	New
215741	Attachment A.2.10 Program Staff Phone Interview Questionnaire Form and Instruction	New
215740	Attachment A.2.9 Screenshots 2-year Post-Exit Postdoctoral Scientist Survey Form and Instruction	New
215738	Attachment A.2.8 Screenshots 2-year Post Exit Graduate Student Survey Form and Instruction	New
215735	Attachment A.2.7 Screenshots Exit Postdoctoral Scientist Survey Form and Instruction	New
215733	Attachment A.2.6 Screenshots Entrance Postdoctoral Scientist Survey Form and Instruction	New
215732	Attachment A.2.5 Screenshots Exit Graduate Student Survey Form and Instruction	New
215731	Attachment A.2.4 Screenshots Interim Graduate Student Survey Form and Instruction	New
215730	Attachment A.2.3 Screenshot entrance Graduate Student Survey Form and Instruction	New

ICR Details

OMB Control No: 0925-0718	ICR Reference No: 201503-0925-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Cross-site Evaluation of the Broadening Experiences in Scientific Training (BEST)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2015
	Date Received in OIRA: 03/24/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved
Responses	29,309	0	0
Time Burden (Hours)	8,106	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This request seeks approval for OMB clearance to conduct a national cross-site evaluation of the Broadening Experiences in Scientific Training (BEST) Program. This request for clearance includes data collection efforts for three populations from the institutions that received the BEST award: graduate students, postdoctoral scientists, and program staff (Principal Investigator (PI), Co-Principal Investigators (co-PIs), Program Director, and local evaluator).

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Authorizing Statute(s): None

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:
	79 FR 50921	08/26/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 13563	03/16/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

IC Title	Form No.	Form Name
Attachment A.2.7 Screenshots Exit Postdoctoral Scientist Survey	5	Exit Postdoctoral Scientist Survey
Attachment A.2.10 Program Staff Phone Interview Questionnaire	8	Program Staff Phone Interview Questions
Attachment A.2.11 Data Form Section 1 Report Annually	9	Data Form Section 1 Report Annually
Attachment A.2.12 Data Form Section 2 Report Annually	10	Data Form Section 2 report annually
Attachment A.2.14 Data Form Section 4 Report Once	12	Data Form Section 4 report once
Attachment A.2.3 Screenshot entrance Graduate Student Survey	1	Entrance Graduate Student
Attachment A.2.4 Screenshots Interim Graduate Student Survey	2	Interim Graduate Student Survey
Attachment A.2.5 Screenshots Exit Graduate Student Survey	3	Exit Graduate Student Survey
Attachment A.2.6 Screenshots Entrance Postdoctoral Scientist Survey	4	Entrance Postdoctoral Scientist Survey
Attachment A.2.8 Screenshots 2-year Post Exit Graduate Student Survey	6	2-year Post-Exit Graduate Student
Attachment A.2.9 Screenshots 2-year Post-Exit Postdoctoral Scientist Survey	7	2-year Post-Exit Postdoctoral Scientist
Attachment A.2.13 Data Form Section 3 Report Once	11	Data Form Section 3 report once

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ICR Summary 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	29,309	0	0	29,309	0	0
Annual Time Burden (Hours)	8,106	0	0	8,106	0	0
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: new submission

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Annual Cost to Federal Government: $198,893

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 03/24/2015

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