Information Collection

NIH Office of Intramural Training & Education (OITE) – NIH Community College Day Registration

IC 222176 under ICR 201602-0925-001 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIH Office of Intramural Training & Education (OITE) – NIH Community College Day Registration	Form
1 Individual Student Registration OMB-CommunityCollegeDay-Collection-StudentRegistration (1).pdf	Form
2 Faculty Registration OMB-CommunityCollegeDay-Collection-FacultyRegistration (1).pdf	Form
OMB-CommunityCollegeDay-Registration-V2 (2).doc Community College Day Registration	IC Document

IC Title:

NIH Office of Intramural Training & Education (OITE) â NIH Community College Day Registration

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	1	Individual Student Registration	OMB-CommunityCollegeDay-Collection-StudentRegistration (1).pdf		Yes	Yes	Fillable Fileable
Form	2	Faculty Registration	OMB-CommunityCollegeDay-Collection-FacultyRegistration (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

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	700	700
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Community College Day Registration	OMB-CommunityCollegeDay-Registration-V2 (2).doc	06/24/2016

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