Information Collection

Demographic Information Survey on NIH Traninees/Fellows

IC 226289 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 Demographic Information Survey on NIH Traninees/Fellows Form
1 EDI Demographic Form for NIH Trainees and Fellows EDI Demographic Form for NIH Trainees and Fellows Survey Instrument.docx Form
Sub-study Template Form - EDI Demographic Form for NIH Trainee and Fellows Survey.docx Sub-Study Template Form - EDI Demographic IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Demographic Information Survey on NIH Traninees/Fellows	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	1	EDI Demographic Form for NIH Trainees and Fellows	EDI Demographic Form for NIH Trainees and Fellows Survey Instrument.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,498	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,498	2,498
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sub-Study Template Form - EDI Demographic	Sub-study Template Form - EDI Demographic Form for NIH Trainee and Fellows Survey.docx	04/05/2017

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