Information Collection

Screening

IC 203350 under ICR 201207-0925-002 · OMB 0925-0671.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0671 can be found here:

Documents and Forms

Document Name Document Type
Form 1.1 Screening Form and Instruction
1.1 Screening Tool Attach 2. Screening Tool.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Screening	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	1.1	Screening Tool	Attach 2. Screening Tool.docx		Yes	Yes	Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	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.