Information Collection

Independent Researcher Listing Application

IC 44189 under ICR 201112-3095-005 · OMB 3095-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0054 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 14115 Independent Researcher Listing Application	Form
NA Form 14115 Independent Researcher Listing Application na-14115_01_12final.docx www.archives.gov/research/hire-help/researcher-opportunity.html	Form

IC Title:

Independent Researcher Listing Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	NA Form 14115	Independent Researcher Listing Application	na-14115_01_12final.docx	http://www.archives.gov/research/hire-help/researcher-opportunity.html	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 433

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	Previously Approved
Annual Number of Responses for this IC	433	433
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.