Information Collection

Future Research Leaders Conference Survey

IC 222336 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Future Research Leaders Conference Survey	Form and Instruction
1 FRLC pre-conference survey screenshot FRLC pre-conference survey screen shots.docx	Form and Instruction
2 FRLC Post-Conference Survey Screenshot FRLC post-conference survey screen shots.docx	Form and Instruction
Fast Track Submission For FRLC.doc Future Research Leaders Conference Survey	IC Document

IC Title:

Future Research Leaders Conference Survey

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	FRLC pre-conference survey screenshot	FRLC pre-conference survey screen shots.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	FRLC Post-Conference Survey Screenshot	FRLC post-conference survey screen shots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

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	80	80
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Future Research Leaders Conference Survey	Fast Track Submission For FRLC.doc	07/06/2016

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