Information Collection

NIH/CSR Early Career Reviewer Program Survey II

IC 221297 under ICR 201412-0925-002 · OMB 0925-0474.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIH/CSR Early Career Reviewer Program Survey II	Form and Instruction
1 ECR screenshot ECR print screen 04-28-2016.pdf	Form and Instruction
Mini Supporting Statement B for clearance of ECR Survey II FINAL.docx Mini Supporting Statement B	IC Document
Supporting Statement for clearance of ECR Survey II FINAL 04 29 2016.docx Mini Supporting Statement A	IC Document
National-Institutes-of-Health-ECR-10240-PIA-04-29-2016-1.docx PIA	IC Document

IC Title:

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	ECR screenshot	ECR print screen 04-28-2016.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini Supporting Statement B	Mini Supporting Statement B for clearance of ECR Survey II FINAL.docx	04/29/2016
Mini Supporting Statement A	Supporting Statement for clearance of ECR Survey II FINAL 04 29 2016.docx	05/02/2016
PIA	National-Institutes-of-Health-ECR-10240-PIA-04-29-2016-1.docx	05/02/2016

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