Information Collection

Research Intergrity Officers from Institutions with Research Misconduct Allegation or Investigation in Past 5 Years

IC 194313 under ICR 201008-0990-004 · OMB 0990-0364.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-Whistleblower Appendix D.doc	Other-questionnaire
0990- Whistleblower Appendix A.doc 0990- Whistleblower Appendix A	IC Document
0990-WhistleblowerAppendix B.doc 0990-WhistleblowerAppendix B	IC Document
0990-Whistleblower Appendix C.doc 0990-Whistleblower Appendix C	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-questionnaire			0990-Whistleblower Appendix D.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0990- Whistleblower Appendix A	0990- Whistleblower Appendix A.doc	08/18/2010
0990-WhistleblowerAppendix B	0990-WhistleblowerAppendix B.doc	08/18/2010
0990-Whistleblower Appendix C	0990-Whistleblower Appendix C.doc	08/18/2010

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