Information Collection

NATIONAL Institutes of Health Undergraduate Scholarship Program for Individuals from disadvantaged Backgrounds

IC 7333 under ICR 200001-0925-002 · OMB 0925-0438.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	NATIONAL Institutes of Health Undergraduate Scholarship Program for Individuals from disadvantaged Backgrounds	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	NIH-2762-4	Yes	Yes
Form	NIH-2762-1	Yes	Yes
Form	NIH-2762-3	Yes	Yes
Form	NIH-2762-2	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,250	-1,250	2,500
Annual IC Time Burden (Hours)	1,667	-1,583	3,250
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.