Agreement Form

Special Volunteer and Guest Researcher Assignment (OD)

OMB: 0925-0177

IC ID: 212394

Information Collection (IC) Details

View Information Collection (IC)

Agreement Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Special Volunteer Agreement Form Attachment 3 Special Volunteer Agreement.doc Yes Yes Paper Only
Form 2 Guest Researchers Agreement Form Attachment 4 Guest Researcher Agreement (2).doc Yes Yes Paper Only

Health Health Care Services

 

1,660 0
   
Individuals or Households
 
   100 %

  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 1,660 0 0 1,660 0 0
Annual IC Time Burden (Hours) 138 0 0 138 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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