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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.