STATEMENT OF APPOINTMENT OF TRAINEE

ICR 198407-0925-007

OMB: 0925-0011

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165823 Migrated
ICR Details
0925-0011 198407-0925-007
Historical Active 198303-0925-002
HHS/NIH
STATEMENT OF APPOINTMENT OF TRAINEE
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/01/1984
Approved with change 07/01/1984
Retrieve Notice of Action (NOA) 07/01/1984
  Inventory as of this Action Requested Previously Approved
05/31/1986 05/31/1986 05/31/1986
15,498 0 21,053
2,299 0 3,123
0 0 0

COMPLETED BY INSTITUTIONS WHICH HAVE RECEIVED PHS TRAINING GRANTS TO INDICATE THE PARTICULAR INDIVIDUALS WHO HAVE BEEN APPOINTED TO THE GRANT AND THE TERMS OF THEIR APPOINTMENTS.

None
None


No

1
IC Title Form No. Form Name
STATEMENT OF APPOINTMENT OF TRAINEE PHS 2271

  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 15,498 21,053 0 -5,555 0 0
Annual Time Burden (Hours) 2,299 3,123 0 -824 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
07/01/1984


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