Attachment 1C Final Survey all other awards (R01s, R21s, and U01s)

Evaluation of National Institutes of Health International Bilateral Programs (FIC, NCI, NIAAA, NIAID, NICHD, NIDA, NINDS, NIMH, OAR)

Documents and Forms

Document Name Document Type
Form 3 Attachment 1C Final Survey all other awards (R01s, R21s, and U01s) Form and Instruction
3 Final Year Survey 1C. Final Survey for all other awards_2.5.15.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Attachment 1C Final Survey all other awards (R01s, R21s, and U01s)	Agency IC Tracking Number:

Is this a Common Form? No		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	3	Final Year Survey	1C. Final Survey for all other awards_2.5.15.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	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	52	52
Annual IC Time Burden (Hours)	52	52
Annual IC Cost Burden (Dollars)	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.