Information Collection

Application Materials: Nih Medical Staff Fellowship Program

IC 111179 under ICR 198306-0925-003 · OMB 0925-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0006 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION MATERIALS: NIH MEDICAL STAFF FELLOWSHIP PROGRAM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	NIH-106-1,	No	No
Form	-2,	No	No
Form	-5	No	No
Form	THROUGH 8	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,400	1,200	200
Annual IC Time Burden (Hours)	613	313	300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.