The NIH Extramural Loan Repayment Programs (LRP) Outcome Study

GENERIC CLEARANCE FOR SURVEYS OF THE OFFICE OF EXTRAMURAL RESEARCH (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0627 can be found here:

Documents and Forms

Document Name Document Type
Form 1 The NIH Extramural Loan Repayment Programs (LRP) Outcome Study Form and Instruction
1 LRP Outcome Survey Screenshots Attach 3 - LRP Outcome Survey Screenshots 4-7-16.pdf Form and Instruction
OMB Mini Supporting Statement - LRP Outcome Survey 4-7-16 (002).docx Mini SSA/B IC Document
Attach 2 - LRP Outcome Survey IRB Approval 4-7-16.pdf IRB Approval IC Document
Attach 3 - LRP Outcome Survey First Invitation Email 4-7-16.docx First Invitation IC Document
Attach 4 - LRP Outcome Survey Second Invitation Email 4-7-16.docx Second Invitation IC Document

Information Collection (IC) Details

IC Title:	The NIH Extramural Loan Repayment Programs (LRP) Outcome Study	Agency IC Tracking Number:

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	LRP Outcome Survey Screenshots	Attach 3 - LRP Outcome Survey Screenshots 4-7-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,440	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,440	1,440
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini SSA/B	OMB Mini Supporting Statement - LRP Outcome Survey 4-7-16 (002).docx	04/27/2016
IRB Approval	Attach 2 - LRP Outcome Survey IRB Approval 4-7-16.pdf	04/27/2016
First Invitation	Attach 3 - LRP Outcome Survey First Invitation Email 4-7-16.docx	04/27/2016
Second Invitation	Attach 4 - LRP Outcome Survey Second Invitation Email 4-7-16.docx	04/27/2016

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