Information Collection

Evaluation of the Impact of New NIH Conflicts of Interest Regulations

IC 179139 under ICR 200703-0925-003 · OMB 0925-0579.

Documents and Forms

Document Name Document Type
Form 1 Evaluation of the Impact of New NIH Conflicts of Interest Regulations Form
1 Survey Attachment 2 Potential survey[1].doc Form
Attachment 4_OHSR Document[1].pdf Attachment 4_OHSR Document[1] IC Document
Attachment 5 Privacy Act 11_2006[1].pdf Attachment 5 Privacy Act 11_2006[1] IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluation of the Impact of New NIH Conflicts of Interest Regulations	Agency IC Tracking Number:

Is this a Common Form? No		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	1	Survey	Attachment 2 Potential survey[1].doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 4_OHSR Document[1]	Attachment 4_OHSR Document[1].pdf
Attachment 5 Privacy Act 11_2006[1]	Attachment 5 Privacy Act 11_2006[1].pdf

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