Health Disparities Research Institute (HDRI) (NIMHD)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Health Disparities Research Institute (HDRI) (NIMHD) Form and Instruction
1 HDRI Application 2017 HDRI Application 2017.docx Form and Instruction
HDRI Sub-Study Template NIH Wide Generic.doc HDRI sub-study template IC Document

Information Collection (IC) Details

IC Title:	Health Disparities Research Institute (HDRI) (NIMHD)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	HDRI Application 2017	HDRI Application 2017.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HDRI sub-study template	HDRI Sub-Study Template NIH Wide Generic.doc	02/21/2017

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