Applicants

A Process Evaluation of the NIH Director's New Innovator Award (NIA) Program for NIH's Office of the Director (OD)

Documents and Forms

Document Name Document Type
Form 1 Applicants Form
Attach 4.doc Instruction
1 survey Attach 2a.doc Form
Attach 5.doc Attach 5 IC Document

Information Collection (IC) Details

IC Title:	Applicants	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	Attach 2a.doc		No	No	Paper Only
Instruction			Attach 4.doc		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 570	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	570	570
Annual IC Time Burden (Hours)	143	143
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attach 5	Attach 5.doc	05/08/2009

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