Independent Researcher Listing Application

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form NA Form 14115 Independent Researcher Listing Application Form and Instruction
NA Form 14115 Independent Researcher Listing Application na-14115_08_12FINAL.docx www.archives.gov/research/hire-help/researcher-opportunity.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA Form 14115	Independent Researcher Listing Application	na-14115_08_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: 458	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	458	25	433
Annual IC Time Burden (Hours)	76	12	64
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.