Humanitarian Program Application

Humanitarian Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0066 can be found here:

Documents and Forms

Document Name Document Type
Hum use criteria long form Jan2012.pdf Humanitarian Award Use Critera IC Document
Hum research criteria long form Jan2012.pdf Humanitarian Award Research Criteria IC Document
Hum Contact Information form Jan2012.pdf Humanitarian Award Contact Information IC Document

Information Collection (IC) Details

IC Title:	Humanitarian Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 35 CFR 131

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 250

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Humanitarian Award Use Critera	Hum use criteria long form Jan2012.pdf	01/20/2012
Humanitarian Award Research Criteria	Hum research criteria long form Jan2012.pdf	01/20/2012
Humanitarian Award Contact Information	Hum Contact Information form Jan2012.pdf	01/20/2012

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