IDRWG Trainee Survey

Process Evaluation of the NIH's Roadmap Interdisciplinary Research Work Group Initiatives

Documents and Forms

Document Name Document Type
Form 1 IDRWG Trainee Survey Form
1 IDRWG Trainee Survey Attachment 2 IDRWG Trainee SURVEY.doc Form
Attachement 3 Email invitations 3.23.10.doc Attachement 3 Email invitations 3 IC Document

Information Collection (IC) Details

IC Title:	IDRWG Trainee Survey	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	IDRWG Trainee Survey	Attachment 2 IDRWG Trainee SURVEY.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	3,450	3,450

Documents for IC

Title	Document	Date Uploaded
Attachement 3 Email invitations 3	Attachement 3 Email invitations 3.23.10.doc	03/24/2010

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