Information Collection

Special Volunteers and Guest Researchers

IC 7250 under ICR 201105-0925-004 · OMB 0925-0177.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0177 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 590 Special Volunteers and Guest Researchers	Form and Instruction
590 Special Volunteer and Guest Researchers NIH590.pdf	Form and Instruction
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter.doc NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter	IC Document
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement.doc NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement	IC Document
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2).doc NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2)	IC Document

IC Title:

Special Volunteers and Guest Researchers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	590	Special Volunteer and Guest Researchers	NIH590.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,660

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	1,660	1,660
Annual IC Time Burden (Hours)	166	166
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter	NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter.doc	05/10/2011
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement	NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement.doc	05/10/2011
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2)	NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2).doc	05/10/2011

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