Information Collection

Demographic Information Survey for Applicants to NIH Training and Fellowship Programs

IC 226444 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⚠️ Notice: This information collection may be referencing outdated material.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 for Applicants to NIH Training and Fellowship Programs	Form and Instruction
1 EDI Demographic Form of Applicants to NIH Training and F EDI Demographic Form for Applicants to NIH Training and Fellowship Programs Survey Instrument.docx	Form and Instruction
Sub-study Template Form - EDI Demographic Form for Applicants to NIH Training and Fellowship Programs (002).docx Demographic Information Survey for Applicants to NIH Training and Fellowship Programs	IC Document

IC Title:

Demographic Information Survey for Applicants to NIH Training and Fellowship Programs

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 and Instruction	1	EDI Demographic Form of Applicants to NIH Training and Fellowship Program Survey	EDI Demographic Form for Applicants to NIH Training and Fellowship Programs Survey Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Demographic Information Survey for Applicants to NIH Training and Fellowship Programs	Sub-study Template Form - EDI Demographic Form for Applicants to NIH Training and Fellowship Programs (002).docx	04/18/2017

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