Information Collection

Researcher Application

IC 32499 under ICR 201501-3095-001 · OMB 3095-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 14003 Researcher Application	Form and Instruction
privacy.txt	Other-Privacy text for PublicScreenS
NA Form 14003 Researcher Application PublicScreenShot.JPG	Form and Instruction
NA Form 14003 Researcher Application na-14003_2014revised.docx	Form and Instruction

IC Title:

Researcher Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1254.8

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NA Form 14003	Researcher Application	PublicScreenShot.JPG	No	Fillable Fileable
Other-Privacy text for PublicScreenShot			privacy.txt	No	Printable Only
Form and Instruction	NA Form 14003	Researcher Application	na-14003_2014revised.docx	No	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,487

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 52 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	18,487	18,487
Annual IC Time Burden (Hours)	2,465	2,465
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.