The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship

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⚠️ Notice: This information collection may be referencing outdated material.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 The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship Form and Instruction
1 Landis Instrument instrument 2 - instruction email to submit additional supporting information 06-29-17.docx Form and Instruction
Sub-Study Template Landis Award final 06-29-17.doc Sub-Study Template IC Document

Information Collection (IC) Details

IC Title:	The National Institute of Neurological Disorders and Stroke (NINDS) Landis Award for Outstanding Mentorship	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	Landis Instrument	instrument 2 - instruction email to submit additional supporting information 06-29-17.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sub-Study Template	Sub-Study Template Landis Award final 06-29-17.doc	06/30/2017

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