Information Collection

Grant Reviewer Recruitment Form

IC 6550 under ICR 201103-0915-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Acceptable Use Policy_June28_2011.doc Instruction
1 Grant Reviewer Application GrantReviewerApplication_ScreenShots_June28_2011.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Acceptable Use Policy_June28_2011.doc		Yes	Yes	Fillable Fileable Signable
Form and Instruction	1	Grant Reviewer Application	GrantReviewerApplication_ScreenShots_June28_2011.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,635	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,635	3,185	2,450
Annual IC Time Burden (Hours)	3,163	1,428	1,735
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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