OMB
.report
Search
Introduction to Cancer Research Careers (ICRC) Application (NCI)
Generic Clearance for Application Information for Fellowships, Internships, Training Programs, and Specialty Positions (NCI)
OMB: 0925-0761
IC ID: 254649
OMB.report
HHS/NIH
OMB 0925-0761
ICR 202205-0925-002
IC 254649
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
#09-25-0014, “Clinical 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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
360
0
360
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.