Information Collection

Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium

IC 224889 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⚠️ Notice: This information collection may be referencing outdated material.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 Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium	Form and Instruction
1 Survey 2016 HRHR Symposium screenshot Survey_2016 HRHR Symposium_screen shots_2.pdf.docx	Form and Instruction
OMB-PRA Fast Track Template 2015_2016 HRHR Symposium survey_2.doc 2015-1016 HRHR Symposium fast track survey	IC Document
Feedback on the NIH Common Fund High-Risk High-Reward Research Symposium.msg Feedback on the NIH Common Fund High	IC Document

IC Title:

Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium

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	Survey 2016 HRHR Symposium screenshot	Survey_2016 HRHR Symposium_screen shots_2.pdf.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 185

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	185	185
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2015-1016 HRHR Symposium fast track survey	OMB-PRA Fast Track Template 2015_2016 HRHR Symposium survey_2.doc	12/16/2016
Feedback on the NIH Common Fund High	Feedback on the NIH Common Fund High-Risk High-Reward Research Symposium.msg	12/16/2016

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