National Institutes of Health Loan Repayment Programs

Forms and Documents

Document Name	Status
Form 1 Intramural/InitialApplications Form	Modified
Form 1 Extramural/ Recommenders Form	New
Form 1 Extramural/ Renewal Applicants Form	New
Form 1 Intramural/ Advisors and Supervisors Form	New
Form 1 Intramural/ Renewal Applications Form	New
Form 1 Extramural/ Financial Institutions Form	New
Form 1 Extramural/ Recommenders Form	New
Form 1 Extramural/ Advisors and Supervisors Form	New
Form 1 Extramural/ Initial Applicants Form	New
Form 1 Intramural/ Financial Institutions Form	New
Form 1 Intramural/Recommenders Form	New
NIH_SOR_DLR_LRP_Update_June2007_FinalDraft.doc Supplementary Document	2008-03-18
Privacy Act System of Records Notice.pdf Supplementary Document	2008-03-18
SS- LRP.doc Supporting Statement A	2008-03-18

IC Document Collections

IC ID	Document Title	Status
7282	Intramural/InitialApplications Form	Modified
184374	Extramural/ Recommenders Form	New
184373	Extramural/ Advisors and Supervisors Instruction	New
184372	Extramural/ Renewal Applicants Form	New
184371	Intramural/ Advisors and Supervisors Form	New
184370	Intramural/ Renewal Applications Form	New
184369	Extramural/ Financial Institutions Form	New
184368	Extramural/ Recommenders Form	New
184367	Extramural/ Advisors and Supervisors Form	New
184366	Extramural/ Initial Applicants Form	New
184365	Intramural/ Financial Institutions Form	New
184364	Intramural/Recommenders Form	New
184363	Intramural/Advisors and Supervisors Instruction	New

ICR Details

OMB Control No: 0925-0361	ICR Reference No: 200804-0925-001
Status: Historical Active	Previous ICR Reference No: 200503-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: National Institutes of Health Loan Repayment Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/12/2008
	Date Received in OIRA: 04/07/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2011	36 Months From Approved	06/30/2008
Responses	15,755	0	12,468
Time Burden (Hours)	36,331	0	29,038
Cost Burden (Dollars)	0	0	0

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Abstract: The Loan Repayment Programs are designed to provide repayment of existing eligible loans of up to $35,000 per year to qualified health professionals performing research in fields required by the NIH to support its mission. Approximately 1,675 new applicants and 800 renewal applicants are expected to submit application packages.

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Authorizing Statute(s): US Code: 42 USC 288-1 Name of Law: AIDS Research loan Repayment Program
  

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:
	72 FR 73030	12/26/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 18289	04/03/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Extramural/ Financial Institutions	1	Survey
Intramural/ Renewal Applications	1	Survey
Intramural/ Advisors and Supervisors	1	Survey
Extramural/ Renewal Applicants	1	Survey
Extramural/ Advisors and Supervisors	1	Survey
Extramural/ Recommenders	1	Survey
Intramural/InitialApplications	1	Survey
Intramural/Advisors and Supervisors	1	Survey
Intramural/Recommenders	1	Survey
Intramural/ Financial Institutions	1	Survey
Extramural/ Initial Applicants	1	Survey
Extramural/ Advisors and Supervisors	1	Survey
Extramural/ Recommenders	1	Survey

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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	15,755	12,468	0	3,287	0	0
Annual Time Burden (Hours)	36,331	29,038	0	7,293	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden hours for the eight programs have been increased by 7,291.31. This number reflects adjustments for the greater number of initial applicants for the extramural programs (from 1,600 applicants to 1,900 applicants), as well as a greater number of renewal applicants for the extramural program (from 800 to 1,225 applicants). These changes will bring the total burden hours for the eight programs to 36,331.5 hours.

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Annual Cost to Federal Government: $1,794,667

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 04/07/2008

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