Information Collection

Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop

IC 209146 under ICR 201212-0925-001 · OMB 0925-0668.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop	Form and Instruction
1 BTCG Survey Survey Instrument-BTCG 2013.doc	Form and Instruction
NIAID_generic_clearance_Fast Track Application-BTCG 2013.doc NIAID_generic_clearance_Fast Track Application-BTCG 2013	IC Document

IC Title:

Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop

Agency IC Tracking Number:

IC Status: New

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	1	BTCG Survey	Survey Instrument-BTCG 2013.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	100	0	0	0	0	0
Annual IC Time Burden (Hours)	8	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIAID_generic_clearance_Fast Track Application-BTCG 2013	NIAID_generic_clearance_Fast Track Application-BTCG 2013.doc	10/30/2013

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