Information Collection

Extramural/ Initial Applicants

IC 184366 under ICR 201211-0925-002 · OMB 0925-0361.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0361 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instructions for Application Package.pdf	Instruction
LRP Instructions for Data Collection Instruments.doc	Instruction
1 Application LRP Data Collection Instruments.pdf	Form
1 Survey 2674-1 Applicant Informaiton with NIH Commons OMB[1][1].pdf	Form

IC Title:

Extramural/ Initial Applicants

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instructions for Application Package.pdf	Yes	Yes	Paper Only
Instruction			LRP Instructions for Data Collection Instruments.doc	Yes	Yes	Fillable Printable
Form	1	Survey	2674-1 Applicant Informaiton with NIH Commons OMB[1][1].pdf	Yes	Yes	Paper Only
Form	1	Application	LRP Data Collection Instruments.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,050

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,050	2,050
Annual IC Time Burden (Hours)	22,038	22,038
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.