Information Collection

Grant Reviewer Recruitment Form

IC 6550 under ICR 200802-0915-001 · OMB 0915-0295.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0295 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Grant Reviewer Recruitment Form	Form
FINALInstructionsdocument.doc	Instruction
1 Grant Reviewer Recruitment Form FEB08FINALform.pdf	Form
FINALPrivacyPolicy.doc Privacy Policy	IC Document
FINALHRSA Rules P 1.pdf User Acknowledgement Page 1	IC Document
FINALHRSA Rules P 2.pdf User Acknowledgement Page 2	IC Document

IC Title:

Grant Reviewer Recruitment Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Grant Reviewer Recruitment Form	FEB08FINALform.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			FINALInstructionsdocument.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,450	-2,450	4,900
Annual IC Time Burden (Hours)	1,735	-1,015	2,750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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